Healthcare Provider Details

I. General information

NPI: 1447643010
Provider Name (Legal Business Name): INDEPENDENTLY DEVELOPING A NEW WAY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2015
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5104 N ORANGE BLOSSOM TRL STE 220
ORLANDO FL
32810-1016
US

IV. Provider business mailing address

PO BOX 681783
ORLANDO FL
32868-1783
US

V. Phone/Fax

Practice location:
  • Phone: 407-703-3383
  • Fax: 407-877-2031
Mailing address:
  • Phone: 407-703-3383
  • Fax: 407-877-2031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BIGGINS
Title or Position: CEO
Credential:
Phone: 407-703-3383