Depaul of West Orlando

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9119 Issued in FL

Legal business name

DEPAUL OF WEST ORLANDO

Practice address

1201 Paul St
Orlando, FL 32808-6938

Phone

(407) 292-0515

Fax

(407) 292-4818

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Myrtle Joyce Benjamin-Richards

Title

Owner / Nurse Administrator

Phone

(407) 292-0515

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1760783872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PAUL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328086938",
            "telephone_number": "407-292-0515",
            "fax_number": "407-292-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PAUL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328086938",
            "telephone_number": "407-292-0515",
            "fax_number": "407-292-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL OF WEST ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN-RICHARDS",
        "authorized_official_first_name": "MYRTLE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER / NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-292-0515"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9119",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "RN 916612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "678900500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140219600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Depagnier
• CJ Depalma, D.P.T
• Donna Michelle Depalmo-Wilson, CRNP
• Department of Veterans Affairs
• Deprise Merle Depass, MSW
• Michelle Larue Depinto, PHARMD
• Paul C Deponte, DO
• Andrew Deptula
• Gregory A Deramo, ARNP
• Derash Inc (Integrity Home Health Care)

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, 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 Nov 4, 2010; 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.