Active NPI
Gordon Home Health Ministries Inc
Doing business as Central Florida Physician Home Care Services
- Gerontology Nurse Practitioner
- Lake Mary, FL
National Provider Identifier
1962839761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- GORDON HOME HEALTH MINISTRIES INC
- Doing business as
- Central Florida Physician Home Care Services
- Practice address
- 962 Cherry Branch CT
Lake Mary, FL 32746-1944 - Phone
- (407) 591-9353
- Fax
- (407) 804-9517
- NPI assigned
- Oct 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edris I Daly-Gordon, RN, EDD
- Title
- Ceo/President
- Phone
- (407) 591-9353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
962 Cherry Branch CT
Lake Mary, FL 32746-1944
Mailing address
PO Box 951911
Lake Mary, FL 32795-1911
Phone (407) 591-9353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MY1STCOMPANY | Other | FL | MEDICARE PTAM # HR893A |
Other names 1
- Central Florida Physician Home Care Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Lake Mary, FL
- NPI 1457749665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446163200000",
"number": "1962839761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 951911",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327951911",
"telephone_number": "407-591-9353",
"fax_number": "407-804-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 CHERRY BRANCH CT",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461944",
"telephone_number": "407-591-9353",
"fax_number": "407-804-9517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON HOME HEALTH MINISTRIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-11",
"last_updated": "2015-10-30",
"status": "A",
"authorized_official_last_name": "DALY-GORDON",
"authorized_official_first_name": "EDRIS",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "407-591-9353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "RN, EDD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAM # HR893A",
"identifier": "MY1STCOMPANY",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Florida Physician Home Care Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Mary, FL
- Karissa Ann Good, BEHAVIOR TECHNICIAN
- Dean Allen Goodall, DDS
- Sydney Goodijohn
- Aaron M. Goodwin, D.O., D.M.D.
- Stephanie Goodwin, PT
- Paulette Gordon, ARNP
- Judith C Gorospe
- Sonny Dominguez Gorospe, RPT,RN
- Goss, Parker & Quinsey, P.a. (DBA Advanced Women's Health Specialists)
- Goss, Parker and Quinsey, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.