Organization Active NPI

Premier Aging in Place Services, Inc.

  • Home Modifications Contractor
  • Orlando, FL
National Provider Identifier
1891007597
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
CBC1254610 Issued in FL
Legal business name
PREMIER AGING IN PLACE SERVICES, INC.
Practice address
2454 E Michigan St
Suite E
Orlando, FL 32806-5059
Phone
(407) 373-7247
Fax
(407) 895-1261
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Timothy Bates, CBC, CEAC, CAPS
Title
President
Phone
(407) 373-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X CBC1254610 FL Primary

Addresses

Primary practice location

2454 E Michigan St
Suite E
Orlando, FL 32806-5059

Mailing address

2454 E Michigan St
Suite E
Orlando, FL 32806-5059
Phone (407) 373-7247

National Provider Directory

National Provider Directory

Locations

2454 E Michigan St
Ste E
Orlando, FL 32806
Phone (407) 373-7247

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1891007597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 E MICHIGAN ST",
            "address_2": "SUITE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065059",
            "telephone_number": "407-373-7247",
            "fax_number": "407-895-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E MICHIGAN ST",
            "address_2": "SUITE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065059",
            "telephone_number": "407-373-7247",
            "fax_number": "407-895-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER AGING IN PLACE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-373-7247",
        "authorized_official_credential": "CBC, CEAC, CAPS"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "CBC1254610",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2010; 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.