Kissimmee Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KISSIMMEE ASSISTED LIVING LLC

Doing business as

CANOPY RIDGE ASSISTED LIVING

Practice address

1471 Sungate Dr
Kissimmee, FL 34746-6566

Phone

(407) 931-5143

NPI assigned

May 13, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Plotzker

Title

Authorized Official

Phone

(732) 998-6276

Specialties & licenses 1

Addresses

Other names 1

• CANOPY RIDGE ASSISTED LIVING Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1740118223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 SUNGATE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466566",
            "telephone_number": "407-931-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 SUNGATE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466566",
            "telephone_number": "407-931-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "PLOTZKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-998-6276"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANOPY RIDGE ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.