Organization Active NPI

El Shaddia Services, Inc.

  • In Home Supportive Care Agency
  • Orlando, FL
National Provider Identifier
1942616685
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
233636 Issued in FL
Legal business name
EL SHADDIA SERVICES, INC.
Practice address
1206 N Buena Vista Ave
Orlando, FL 32818-6812
Phone
(407) 294-3551
Fax
(407) 294-7398
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Mr. Michael Rozier
Title
President
Phone
(407) 294-3551

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 233636 FL Primary
Private Vehicle 347C00000X 692618598 FL
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 692618596 FL

Addresses

Primary practice location

1206 N Buena Vista Ave
Orlando, FL 32818-6812

Mailing address

1206 N. Buena Vista Ave
Orlando, FL 32818
Phone (407) 294-3551

Other names 1

  • El Shaddia Services Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1942616685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N. BUENA VISTA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818",
            "telephone_number": "407-294-3551",
            "fax_number": "407-294-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N BUENA VISTA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186812",
            "telephone_number": "407-294-3551",
            "fax_number": "407-294-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDIA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-294-3551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233636",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "692618598",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "692618596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Shaddia Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 2, 2014; 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.