Active NPI
Excellent Adult Family Care Home
- Child Intellectual and/or Developmental Disabilities Respite Care
- Ocala, FL
National Provider Identifier
1861639882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- 693200296
- Legal business name
- EXCELLENT ADULT FAMILY CARE HOME
- Practice address
- 4240 Sw45Th Court STR.
Ocala, FL 34474-9611 - Phone
- (352) 433-2455
- Fax
- (325) 433-2455
- NPI assigned
- Jan 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mahalia Jean Hester
- Title
- Owner
- Phone
- (352) 455-2455
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 693200296 | FL | |
| Developmental Disabilities Clinic/Center | 261QD1600X | 69320096 | FL | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 693200296 | FL | Primary |
Addresses
Primary practice location
4240 Sw45Th Court STR.
Ocala, FL 34474-9611
Mailing address
4240 Sw45Th Court Street
Ocala, FL 34474-9611
Phone (352) 433-2455
Other names 1
- The Universal Helth Care Agency
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231804800000",
"number": "1861639882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 SW45TH COURT STREET",
"city": "OCALA",
"state": "FL",
"postal_code": "344749611",
"telephone_number": "352-433-2455",
"fax_number": "325-433-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 SW45TH COURT STR.",
"city": "OCALA",
"state": "FL",
"postal_code": "344749611",
"telephone_number": "352-433-2455",
"fax_number": "325-433-2455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENT ADULT FAMILY CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-13",
"last_updated": "2009-01-13",
"status": "A",
"authorized_official_last_name": "HESTER",
"authorized_official_first_name": "MAHALIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-455-2455",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "693200296",
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "FL",
"license": "69320096",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": "693200296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Universal Helth Care Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.