ACHILLE FAMILY NURSING CARE LLC


Address: 12632 Boggy Pointe Dr, Orlando, FL 32824-4881
Phone: 9543942479

ACHILLE FAMILY NURSING CARE LLC (NPI# 1053976126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053976126
Entity Type Organization
Organization Name ACHILLE FAMILY NURSING CARE LLC
Practice Address 12632 Boggy Pointe Dr
Orlando
FL 32824-4881
Practice Telephone 9543942479
Enumeration Date 2019-05-04
Last Update Date 2019-05-04
Authorized Official Name MS. STERLIE ACHILLE (CHIEF OPERATING OFFICER)
Authorized Official Telephone 9546396335
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL ATN 05

Office Location

Street Address 12632 BOGGY POINTE DR
City ORLANDO
State FL
Zip Code 32824-4881

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1154772978 Azalia Carballo Behavior Technician 14940 Day Lily Ct, Orlando, FL 32824 2016-06-22
1326413931 Marlene Alix Nurse Practitioner 12108 Greco Dr., Orlando, FL 32824 2015-12-08
1508230202 Sandra Pinzon Case Management 579 Bohannon Blvd, Orlando, FL 32824 2015-11-18
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1770116410 Daphene Saintil Clinic/Center 5273 Millenia Blvd Apt 202, Orlando, FL 32839-3408 2020-02-21
1225671514 Annette I Vigeant Clinic/Center 19668 Mardi Gras St, Orlando, FL 32833-3720 2019-10-20
1225689284 Marie Mickaelle Auguste Clinic/Center 1421 Magellan Cir, Orlando, FL 32818-6733 2019-09-21
1639737760 Amanda Garcia Ruiz Clinic/Center 14127 Sanctuary Terrace Ln, Orlando, FL 32832-6643 2019-06-04
1205499787 K Brown Med-waiver Services Inc Clinic/Center 3250 Mahalia Pl, Orlando, FL 32805-2918 2019-04-19
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Competitor

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City ORLANDO
Zip Code 32824

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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