PAULETTE ANNMARIE ANNIKEY NPI 1124772520

NPI Information

NPI: 1124772520
Provider Name: PAULETTE ANNMARIE ANNIKEY
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Individual
Address:
415 EAGLE DR
KISSIMMEE, FL
ZIP 34759
Phone: (863) 547-4886
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Paulette Annmarie Annikey is a residential treatment facility, intellectual and/or developmental disabilities in Kissimmee, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. Paulette Annmarie Annikey NPI is 1124772520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 EAGLE DR
KISSIMMEE, FL
ZIP 34759-432
Phone: (863) 547-4886
Fax: (863) 547-4993

The enumeration date for this NPI number is 2/5/2022 and was last updated on 2/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		692345396	FLORIDA	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		692345396	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	320600000X	MEDICAID	FLORIDA
2	692345396	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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