Community Health Alliance LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMMUNITY HEALTH ALLIANCE LLC

Doing business as

Amada Senior Care the Villages

Practice address

1321 Citizens Blvd Ste C
Leesburg, FL 34748-3946

Phone

(352) 702-3727

Fax

(888) 650-5089

NPI assigned

Jan 11, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cesar Andres Pumariega

Title

Owner

Phone

(352) 360-9735

Specialties & licenses 2

Addresses

Other names 1

• Amada Senior Care the Villages Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Dawn Baxley

  • Case Management Agency
  • Leesburg, FL
  • NPI 1922879527
  NPD
• Theo Evans

  • Case Manager/Care Coordinator
  • Leesburg, FL
  • NPI 1518738269
  NPD
• Kelli Staab

  • Case Manager/Care Coordinator
  • Leesburg, FL
  • NPI 1922820711
  NPD

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1851162440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CITIZENS BLVD STE C",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483946",
            "telephone_number": "352-702-3727",
            "fax_number": "888-650-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 CITIZENS BLVD STE C",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483946",
            "telephone_number": "352-702-3727",
            "fax_number": "888-650-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "PUMARIEGA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-360-9735"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care the Villages",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amada Senior Care the Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Frances L. Conde, DMD

• In Home Supportive Care Agency in Leesburg, FL
• Providers in Leesburg, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.