NPIMap

Organization Active NPI

Preservers of Destinies

  • Case Management Agency
  • Kissimmee, FL
National Provider Identifier
1982096111
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PRESERVERS OF DESTINIES
Practice address
2102 Cole TRL
Kissimmee, FL 34743-3720
Phone
(407) 429-1144
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Marisol Lugo
Title
President
Phone
(407) 429-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2102 Cole TRL
Kissimmee, FL 34743-3720

Mailing address

1156 E Vine St
Kissimmee, FL 34744-3579
Phone (407) 429-1144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1982096111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443579",
            "telephone_number": "407-429-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 COLE TRL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347433720",
            "telephone_number": "407-429-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVERS OF DESTINIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-429-1144"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.