Organization Active NPI

Victoria'S 7TH Heaven. LLC

  • Adult Care Home Facility
  • Summerfield, FL
National Provider Identifier
1831658889
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
VICTORIA'S 7TH HEAVEN. LLC
Practice address
11235 SE Highway 42
Summerfield, FL 34491-6628
Phone
(407) 906-2904
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Ms. Monique Bryant, BSN, RN
Title
Administrator
Phone
(407) 222-3058

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Adult Day Care Clinic/Center 261QA0600X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

11235 SE Highway 42
Summerfield, FL 34491-6628

Mailing address

673 Crystal Bay LN
Orlando, FL 32828-6660
Phone (407) 222-3058

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1831658889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 CRYSTAL BAY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286660",
            "telephone_number": "407-222-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 SE HIGHWAY 42",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344916628",
            "telephone_number": "407-906-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA'S 7TH HEAVEN. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-222-3058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.