NPIMap

Organization Active NPI

Lideysa Patient Care Inc.

  • Adult Care Home Facility
  • Minneola, FL
National Provider Identifier
1750711768
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906577 Issued in FL
Legal business name
LIDEYSA PATIENT CARE INC.
Doing business as
Lideysa Callejas Adult Family Care Home
Practice address
10950 Guilford Rd
Minneola, FL 34715-9087
Phone
(352) 321-1880
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Ms. Lideysa Callejas
Title
Owner
Phone
(352) 321-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906577 FL Primary

Addresses

Primary practice location

10950 Guilford Rd
Minneola, FL 34715-9087

Mailing address

10950 Guilford Rd
Minneola, FL 34715-9087
Phone (352) 321-1880

Other names 1

  • Lideysa Callejas Adult Family Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1750711768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 GUILFORD RD",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159087",
            "telephone_number": "352-321-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 GUILFORD RD",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159087",
            "telephone_number": "352-321-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDEYSA PATIENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "CALLEJAS",
        "authorized_official_first_name": "LIDEYSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-321-1880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lideysa Callejas Adult Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.