NPIMap

Organization Active NPI

Davids Holistic Care Center Inc.

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1861880973
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DAVIDS HOLISTIC CARE CENTER INC.
Practice address
4623 Ebony St
Orlando, FL 32811-3823
Phone
(407) 990-6333
Fax
(321) 206-4502
NPI assigned
Dec 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mr. David WadeNPI 1184902157
Title
Owner
Phone
(407) 990-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

4623 Ebony St
Orlando, FL 32811-3823

Mailing address

4623 Ebony St
Orlando, FL 32811-3823
Phone (407) 990-6333

Other identifiers 3

IdentifierTypeStateIssuer
007902900MedicaidFL
232909MedicaidFL
007902901MedicaidFL

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": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1861880973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 EBONY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113823",
            "telephone_number": "407-990-6333",
            "fax_number": "321-206-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 EBONY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113823",
            "telephone_number": "407-990-6333",
            "fax_number": "321-206-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDS HOLISTIC CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-990-6333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007902900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232909",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007902901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.