ANDRE MORRIS NPI 1174050371

NPI Information

NPI: 1174050371
Provider Name: ANDRE MORRIS
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
338 DANIELS POINTE DR
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 968-8284
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Andre Morris is an intermediate care facility mentally retarded in Winter Garden, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. Andre Morris NPI is 1174050371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

338 DANIELS POINTE DR
WINTER GARDEN, FL
ZIP 34787-347
Phone: (407) 968-8284
Fax: (407) 968-8284

The NPI 1174050371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/18/2017 and was last updated on 5/10/2021.

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	310500000X	Intermediate Care Facility, Mental Illness				No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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: 4/28/2024

NPI Synchronization or Removal

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