Adventist Health System-Sunbelt, Inc
Organization Active NPI Clinical Medical Laboratory · Orlando, FL
NPI 1801569728 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1801569728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- ADVENTIST HEALTH SYSTEM-SUNBELT, INC
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 303-5600
- NPI assigned
- Jul 27, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVENTIST HEALTH SYSTEM-SUNBELT, INC
Authorized official
- Name
- Mr. Douglas Hilliard
- Title
- Cfo
- Phone
- (407) 303-7667
Owners & managing parties with NPI records 1
-
Aaron Godshall, M.D.
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 39
Related certifications (CCN) 1
Affiliated clinicians 5,459
-
Edmund Abate III, PA-C
-
Mohammad Abbas, M.D.
-
Saima Abbas, M.D
-
Ghadi Abboud, MD
-
Eamon Abdullah, MD
-
Alicia Syntrell Abel, APRN
-
Tania Abi Antoun, M.D.
-
Muna Saleh Abraha, APRN
-
Shilpa Kurapati Abraham, APRN
-
Mayra Abreu, M.D.
-
Nicholas Abrudescu, M.D.
-
Dean Mehdi Abtahi, M.D.
-
Rajab K Abukhadrah, M.D.
-
Rana Abusoufeh, M.D
-
Jamal A Abusuwa, MD
Medicare Care Compare: Hospital
- Listed as
- Adventhealth Orlando
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0663787 | Adventhealth Lab | Accreditation | Feb 2, 2027 |
| 10D0888280 | Adventhealth Lab | Certificate of waiver | Jun 28, 2028 |
| 10D2164916 | Adventhealth Hospice | Certificate of waiver | Apr 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
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
- Corporation · Non-profit
- Incorporated
- May 2, 1973 in FL
- Enrollment address
- 601 E Rollins St
Orlando, FL 32803-1248 - Hospital subgroups
- Acute care, Psychiatric, Rehabilitation, Other
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| Aaron J Godshall |
Corporate Director |
Apr 4, 2024 | |
| Allan Machado |
Corporate Director |
Sep 13, 2018 | |
| Douglas Hilliard |
Corporate Director |
Jul 30, 2025 | |
| Hector Tico Perez |
Corporate Director |
Dec 18, 2008 | |
| Elisa Rahming |
Corporate Director |
Jun 7, 2018 | |
| Belinda Kirkegard |
Corporate Director |
May 5, 2021 | |
| Kent R Johnson |
Contracted Managing Employee |
Jul 13, 2025 | |
| Corporate Officer |
Jul 13, 2025 | ||
| Operational/Managerial Control |
Jul 13, 2025 | ||
| Terry Lee Forde |
Corporate Director |
Dec 12, 2024 | |
| Brian Adams |
Contracted Managing Employee |
Dec 1, 2021 | |
| Corporate Officer |
Dec 1, 2021 | ||
| Corporate Director |
Dec 1, 2021 | ||
| Operational/Managerial Control |
Dec 1, 2021 | ||
| Jim Coffin |
Corporate Director |
Jun 9, 2016 | |
| Nicholas Abrahams |
Corporate Director |
Dec 12, 2024 | |
| Garrett Jones |
Corporate Director |
Feb 27, 2025 | |
| Thomas Yochum |
Corporate Director | Feb 24, 1993 | |
| Beat Kahli |
Corporate Director |
Jan 1, 2006 | |
| David Freedman |
Corporate Director |
Jan 1, 2020 | |
| Sam Stark |
Corporate Director |
Feb 27, 2020 | |
| Adventist Health System Sunbelt Healthcare Corporation |
5% Or Greater Direct Ownership Interest | Jan 1, 1982 | 100% |
| Sandra Hostetter |
Corporate Director |
Dec 9, 2010 | |
| Ron Smith |
Corporate Officer |
Jan 1, 2020 | |
| Corporate Director |
Jan 1, 2007 | ||
| Georgia Lorenz |
Corporate Director |
Dec 10, 2020 | |
| Anne K Kelley |
Corporate Director |
Aug 18, 2005 | |
| Randall Haffner |
Corporate Officer |
Apr 8, 2021 | |
| Corporate Director |
Apr 8, 2021 | ||
| Michael Owusu |
Corporate Director |
Apr 8, 2021 | |
| Coy Ingram |
Corporate Director |
Sep 18, 2018 | |
| Ken Shaw |
Corporate Director |
Aug 26, 2021 | |
| Sandra L Randolph |
Corporate Director |
Feb 26, 2015 | |
| Marjorie Thomas |
Corporate Director |
Aug 17, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080527000365 | FL | Part a Provider - Hospital | 4082602214 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- FL Hospital
- Part of
- FL Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
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
- AdventHealth Orlando Outreach Laboratory
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Other providers in Orlando, FL
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System/ Sunbelt, Inc.
All providers in Orlando, FL · Clinical Medical Laboratory in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.