7950 Lake Underhill Road Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14370961 Issued in FL

Legal business name

7950 LAKE UNDERHILL ROAD OPERATIONS LLC

Practice address

7950 Lake Underhill Rd
Orlando, FL 32822-8229

Phone

(407) 658-2046

Fax

(407) 249-2226

NPI assigned

Dec 27, 2011

Organization subpart

No

Name

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

• Rio Pinar Health Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2023.

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1902175656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228229",
            "telephone_number": "407-658-2046",
            "fax_number": "407-249-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228229",
            "telephone_number": "407-658-2046",
            "fax_number": "407-249-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "7950 LAKE UNDERHILL ROAD OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14370961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004384600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rio Pinar Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rio Pinar Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 4K'S Kreations LLC
• 4Roots Foundation, Inc.
• 5 Star Healthcare Consultants, Inc.
• 5 Star Home Health Services, LLC
• 5 Star Home Living Healthcare LLC
• 9311 South Orange Blossom Trail Operations LLC
• A & R Counseling and Consultant Services LLC
• A & S Quality Care
• A Advance Medical Group
• A Better Chance Inc.

• All providers in Orlando, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.