Annex Nutrition Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

ND6051 Issued in FL

Legal business name

ANNEX NUTRITION SERVICES, INC

Practice address

450 Jay CT
Kissimmee, FL 34759-4421

Phone

(863) 588-2652

Fax

(914) 345-0858

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Caroline Morris, RD, MPH, CDN

Title

Owner

Phone

(863) 588-2652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1841621810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 JAY CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594421",
            "telephone_number": "863-588-2652",
            "fax_number": "914-345-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 JAY CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594421",
            "telephone_number": "863-588-2652",
            "fax_number": "914-345-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEX NUTRITION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-588-2652",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, MPH, CDN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "ND6051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.