Central Florida Communities Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

4039096 Issued in FL

Legal business name

CENTRAL FLORIDA COMMUNITIES INC

Doing business as

Lake View Court

Practice address

920 Kennedy Blvd
Orlando, FL 32810-6128

Phone

(407) 660-8600

Fax

(407) 475-0279

NPI assigned

Dec 15, 2006

Last updated

Feb 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terry W. Bangs

Title

President, Dsi Management (MGMT. Co

Phone

(407) 645-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake View Court Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982766838. Details of each certification follow.

• CCN 10G056 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G056

Legal name

LAKE VIEW COURT

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Feb 1, 1993

Last certification

Dec 11, 2024

Beds

64

Ownership / control type

Private (non-profit)

Facility address

920 West Kennedy Blvd
Orlando, FL 32810

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Central Florida Communities Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Central Florida Communities Inc

  dba Howell Branch Court

  • Intellectual Disabilities Intermediate Care Facility
  • Winter Park, FL
  • NPI 1164584082
  NPD tax ID
• Central Florida Communities Inc

  dba Washington Square

  • Intellectual Disabilities Intermediate Care Facility
  • Titusville, FL
  • NPI 1629130554
  NPD tax ID

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1982766838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-645-3211",
            "fax_number": "407-628-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 KENNEDY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106128",
            "telephone_number": "407-660-8600",
            "fax_number": "407-475-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA COMMUNITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "BANGS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT, DSI MANAGEMENT (MGMT. CO",
        "authorized_official_telephone_number": "407-645-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4039096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285650",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake View Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Intellectual Disabilities Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.