Organization Active NPI

Leeko Family Care Home

  • Adult Care Home Facility
  • Orlando, FL
National Provider Identifier
1962013482
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LEEKO FAMILY CARE HOME
Practice address
5861 Sir Henry Rd
Orlando, FL 32808-3320
Phone
(407) 781-7804
Fax
(888) 363-6121
NPI assigned
Aug 10, 2020
Organization subpart
Yes
Parent organization
ACCOLADE HEALTH CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Elsa Lewis-Anderson
Title
Ceo
Phone
(407) 781-7804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

5861 Sir Henry Rd
Orlando, FL 32808-3320

Mailing address

5861 Sir Henry Rd
Orlando, FL 32808-3320
Phone (407) 781-7804

Other identifiers 1

IdentifierTypeStateIssuer
013468000MedicaidFL

National Provider Directory

National Provider Directory
Part of
Accolade Health Care Services LLC

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1962013482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 SIR HENRY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083320",
            "telephone_number": "407-781-7804",
            "fax_number": "888-363-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 SIR HENRY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083320",
            "telephone_number": "407-781-7804",
            "fax_number": "888-363-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEKO FAMILY CARE HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCOLADE HEALTH CARE SERVICES LLC",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS-ANDERSON",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-781-7804"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013468000",
            "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 Nov 7, 2024; 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.