RANDOLPH RODRIGUEZ NPI 1922493170

NPI Information

  • NPI: 1922493170
  • Provider Name: RANDOLPH RODRIGUEZ
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Other Name: RANDOLPH RODRIGUEZ
  • Address: 2434 BENJAMIN DR
    KISSIMMEE, FL
    ZIP 34744
  • Phone: (407) 558-5656

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NPI Details

RANDOLPH RODRIGUEZ is a nursing care and pediatric skilled nursing facility in Kissimmee, FL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. RANDOLPH RODRIGUEZ NPI is 1922493170. The provider is registered as an organization entity type.
The provider Other Name Is Randolph Rodriguez.

The provider's business location address is:

2434 BENJAMIN DR
KISSIMMEE, FL
ZIP 34744-722
Phone: (407) 558-5656
Fax: (321) 251-6542

The provider's authorized official is Randolph Rodriguez .
The authorized official title is President and has the following contact phone number (407) 558-5656.

The enumeration date for this NPI number is 4/4/2015 and was last updated on 4/4/2015.

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
13140N1450XSkilled Nursing FacilityNursing Care, PediatricOTA 13834FLORIDAYes

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: 11/21/2025

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