Molina Provider Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOLINA PROVIDER CARE

Practice address

2544 Isabela Ter
Kissimmee, FL 34743-5816

Phone

(407) 334-1166

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Marangely Molina

Title

Director

Phone

(407) 334-1166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• molina Provider Care Other name

Electronic endpoints 1

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1740801877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 ISABELA TER",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347435816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 ISABELA TER",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347435816",
            "telephone_number": "407-334-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA PROVIDER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARANGELY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-334-1166"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18003090",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molinaprovidercare@mail.com",
            "affiliation": "N",
            "address_1": "2544 Isabela Ter",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347435816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "molina Provider Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Molano
• Leidys Karina Molina Alcedo
• Maria D Molina Lizaras
• Karen G Molina Melendez, APRN
• Grecia Molina Ortiz
• Alejandro Lazaro Molina, APRN
• Courtney B Molina, PSYD
• Daisy Rosas Molina
• Fatima Michelle Molina
• Yolanda M Molinaris, M.D

• Home Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.