Organization Active NPI

Sweet Home Assisting Living Corp

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1780441170
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SWEET HOME ASSISTING LIVING CORP
Practice address
13533 Madison Dock Rd
Orlando, FL 32828-9511
Phone
(407) 731-3392
Fax
(407) 264-6792
NPI assigned
Mar 1, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Candida Rolon
Title
Owner
Phone
(407) 731-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

13533 Madison Dock Rd
Orlando, FL 32828-9511

Mailing address

13533 Madison Dock Rd
Orlando, FL 32828-9511
Phone (407) 731-3392

Other identifiers 1

IdentifierTypeStateIssuer
13497OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1780441170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13533 MADISON DOCK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289511",
            "telephone_number": "407-731-3392",
            "fax_number": "407-264-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13533 MADISON DOCK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289511",
            "telephone_number": "407-731-3392",
            "fax_number": "407-264-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HOME ASSISTING LIVING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "CANDIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-731-3392"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "13497",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.