Organization Active NPI

Humble Hearts of Central Florida LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clermont, FL
National Provider Identifier
1770101859
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HUMBLE HEARTS OF CENTRAL FLORIDA LLC
Practice address
11509 Pineloch Loop
Clermont, FL 34711-6459
Phone
(352) 396-5416
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Mr. Cesat Abad Rodriguez
Title
Owner
Phone
(352) 396-5416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

11509 Pineloch Loop
Clermont, FL 34711-6459

Mailing address

11509 Pineloch Loop
Clermont, FL 34711-6459
Phone (352) 396-5416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1770101859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 PINELOCH LOOP",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116459",
            "telephone_number": "352-396-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11509 PINELOCH LOOP",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116459",
            "telephone_number": "352-396-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE HEARTS OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CESAT",
        "authorized_official_middle_name": "ABAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-396-5416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.