NPIMap

Organization Active NPI

Adventist Health System-Sunbelt, Inc

Doing business as AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
National Provider Identifier
1801569728
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVENTIST HEALTH SYSTEM-SUNBELT, INC
Doing business as
AdventHealth Orlando Outreach Laboratory
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-5600
NPI assigned
Jul 27, 2021
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH SYSTEM-SUNBELT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Mr. Douglas Hilliard
Title
Cfo
Phone
(407) 303-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

595 Montgomery Rd
Altamonte Springs, FL 32714-6843
Phone (407) 303-0500

Other names 1

  • AdventHealth Orlando Outreach Laboratory Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080527000365 FL Part A Provider - Hospital 4082602214 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801569728. Details of each certification follow.

Hospital certification: CCN 100007

Legal name
ADVENTIST HEALTH SYSTEM/SUNBELT INC
Doing business as
ADVENTHEALTH ORLANDO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 29, 2011
Beds
3,289
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 2, 1973 in FL
Enrollment address
601 E Rollins St
Orlando, FL 32803-1248
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Adventhealth OrlandoCCN 100007 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0663787Adventhealth Lab601 E Rollins St, Orlando, FL 32803AccreditationFeb 2, 2027
10D0888280Adventhealth Lab601 East Rollins, Orlando, FL 32803Certificate of waiverJun 28, 2028
10D2164916Adventhealth Hospice601 E Rollins Street Unit 310, Orlando, FL 32803Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sunbelt Living Ctr Apop64 organizations share this tax ID, including this one
Part of
Sunbelt Living Ctr Apop

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aaron J Godshall Individual Corporate DirectorDirector Apr 4, 2024
Allan Machado Individual Corporate DirectorDirector Sep 13, 2018
Douglas Hilliard Individual Corporate DirectorDirector Jul 30, 2025
Hector Tico Perez Individual Corporate DirectorDirector Dec 18, 2008
Elisa Rahming Individual Corporate DirectorDirector Jun 7, 2018
Belinda Kirkegard Individual Corporate DirectorDirector May 5, 2021
Kent R Johnson Individual Contracted Managing EmployeeCfo Jul 13, 2025
Corporate OfficerCfo Jul 13, 2025
Operational/Managerial ControlCfo Jul 13, 2025
Terry Lee Forde Individual Corporate DirectorDirector Dec 12, 2024
Brian Adams Individual Contracted Managing EmployeeCeo Dec 1, 2021
Corporate OfficerBoard Secretary Dec 1, 2021
Corporate DirectorDirector Dec 1, 2021
Operational/Managerial ControlCeo Dec 1, 2021
Jim Coffin Individual Corporate DirectorDirector Jun 9, 2016
Nicholas Abrahams Individual Corporate DirectorDirector Dec 12, 2024
Garrett Jones Individual Corporate DirectorDirector Feb 27, 2025
Thomas Yochum Individual Corporate Director Feb 24, 1993
Beat Kahli Individual Corporate DirectorDirector Jan 1, 2006
David Freedman Individual Corporate DirectorDirector Jan 1, 2020
Sam Stark Individual Corporate DirectorDirector Feb 27, 2020
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 1982 100%
Sandra Hostetter Individual Corporate DirectorDirector Dec 9, 2010
Ron Smith Individual Corporate OfficerVice Chair Jan 1, 2020
Corporate DirectorDirector Jan 1, 2007
Georgia Lorenz Individual Corporate DirectorDirector Dec 10, 2020
Anne K Kelley Individual Corporate DirectorDirector Aug 18, 2005
Randall Haffner Individual Corporate OfficerChair Apr 8, 2021
Corporate DirectorDirector Apr 8, 2021
Michael Owusu Individual Corporate DirectorDirector Apr 8, 2021
Coy Ingram Individual Corporate DirectorMember of Board of Directors Sep 18, 2018
Ken Shaw Individual Corporate DirectorDirector Aug 26, 2021
Sandra L Randolph Individual Corporate DirectorDirector Feb 26, 2015
Marjorie Thomas Individual Corporate DirectorDirector Aug 17, 2005

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 5,459

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 5,459

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1801569728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327146843",
            "telephone_number": "407-303-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM-SUNBELT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEM-SUNBELT, INC",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-303-7667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AdventHealth Orlando Outreach Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Orlando Outreach Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.