Epic Iconic Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EPIC ICONIC HEALTH CARE LLC

Practice address

499 N State Rd 434
Suite 2147
Altamonte Springs, FL 32714

Phone

(407) 723-9658

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Shelando Downer

Title

Owner

Phone

(407) 723-9658

Specialties & licenses 6

Addresses

Other names 1

• Epic Iconic Health Care Other name

Tax ID family

Epic Iconic Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Epic Iconic Health Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Altamonte Springs, FL
  • NPI 1366134330
  NPD tax ID
• Epic Iconic Health Care LLC

  • Nursing Care Agency
  • Altamonte Springs, FL
  • NPI 1629792627
  NPD tax ID

Locations

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1760204754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 N STATE RD 434",
            "address_2": "SUITE 2147",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-723-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N STATE RD 434",
            "address_2": "SUITE 2147",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-723-9658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W SR 436",
            "address_2": "Ste 2211",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327143271",
            "country_code": "US",
            "telephone_number": "407-723-9658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIC ICONIC HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "DOWNER",
        "authorized_official_first_name": "SHELANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-723-9658"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Iconic Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Epic Iconic Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 Oct 30, 2024; 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.