Active NPI
Aging Gracefully Residence Care, LLC
- Home Health Registered Nurse
- Orlando, FL
National Provider Identifier
1982470159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- AGING GRACEFULLY RESIDENCE CARE, LLC
- Practice address
- 1983 Skidmore Ave
Orlando, FL 32826-4616 - Phone
- (407) 587-6476
- NPI assigned
- Nov 29, 2023
- 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
- Emmanuella A Richman
- Title
- Ceo
- Phone
- (407) 587-6476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
1983 Skidmore Ave
Orlando, FL 32826-4616
Mailing address
1983 Skidmore Ave
Orlando, FL 32826-4616
Phone (407) 587-6476
Other names 1
- Aging Gracefully Residence Care, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1982470159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1983 SKIDMORE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264616",
"telephone_number": "407-587-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 SKIDMORE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264616",
"telephone_number": "407-587-6476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGING GRACEFULLY RESIDENCE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "RICHMAN",
"authorized_official_first_name": "EMMANUELLA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-587-6476"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aging Gracefully Residence Care, LLC",
"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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.