Josette Telisier Altidor, ADMINISTRATOR /OWNER

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

AL12988 Issued in FL

Practice address

541 Brentford CT
Kissimmee, FL 34758

Phone

(734) 788-9020

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safe Faith Paradise Alf,LLC

  • Assisted Living Facility
  • Kissimmee, FL
  • NPI 1154854719
  NPD (past) Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861919631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BRENTFORD CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584119",
            "telephone_number": "734-788-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 BRENTFORD CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34758",
            "telephone_number": "734-788-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIDOR",
        "first_name": "JOSETTE",
        "middle_name": "TELISIER",
        "credential": "ADMINISTRATOR /OWNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "AL12988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020676200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Licette Alt
• Alexandra Marie Altamirano, RBT
• Altamonte Springs Diagnostic Imaging Inc
• Elaine Rose Altamura, PHARMD
• Ashley Logan Althoff, DO
• Altruist Caring Hand Home Service LLC
• Raymonde Alva
• Zelinette Alvarado Rodriguez, MD
• Carlos Roberto Alvarado, OTR/L
• Gladyvi Alvarado, M.A.

• Adult Companion in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.