NPIMap

Organization Active NPI

Home at Last, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Longwood, FL
National Provider Identifier
1821137985
Registry record updated Dec 1, 2010
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
HOME AT LAST, INC.
Practice address
740 Florida Central Pkwy
Ste # 1028
Longwood, FL 32750-7651
Phone
(407) 774-2284
Fax
(407) 774-2285
NPI assigned
Feb 5, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Corey Manuel Sr., M.S.NPI 1215359583
Title
Program Director
Phone
(407) 774-2284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

740 Florida Central Pkwy
Ste 1028
Longwood, FL 32750
Phone (407) 774-2284

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

740 Florida Central Pkwy
Ste # 1028
Longwood, FL 32750-7651

Mailing address

740 Florida Central Pkwy
Ste # 1028
Longwood, FL 32750-7651
Phone (407) 774-2284

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
676458496MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2010.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1821137985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FLORIDA CENTRAL PKWY",
            "address_2": "STE # 1028",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327507651",
            "telephone_number": "407-774-2284",
            "fax_number": "407-774-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FLORIDA CENTRAL PKWY",
            "address_2": "STE # 1028",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327507651",
            "telephone_number": "407-774-2284",
            "fax_number": "407-774-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AT LAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "407-774-2284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676458496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

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