Healthcare Provider Details

I. General information

NPI: 1285582692
Provider Name (Legal Business Name): FENELUS GROUP CARE FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6361 RUTHIE DR
ORLANDO FL
32818-2254
US

IV. Provider business mailing address

7827 REX HILL TRL
ORLANDO FL
32818-8753
US

V. Phone/Fax

Practice location:
  • Phone: 407-432-9498
  • Fax:
Mailing address:
  • Phone: 407-432-9498
  • Fax: 407-432-9498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: PHILIPPE FENELUS
Title or Position: PRESIDENT
Credential:
Phone: 407-432-9498