Organization Active NPI

Excellent Adult Family Care Home

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Ocala, FL
National Provider Identifier
1861639882
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
693200296 Issued in FL
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

Updated by the provider on Jan 13, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.