Organization 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
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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

Updated by the provider on Oct 30, 2015

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, EDDNPI 1457749665
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)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
MY1STCOMPANYOtherFLMEDICARE PTAM # HR893A

Other names 1

  • Central Florida Physician Home Care Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.