Healthcare Provider Details

I. General information

NPI: 1073487666
Provider Name (Legal Business Name): PIECES 2 GATHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 PAUL ST
ORLANDO FL
32808-7546
US

IV. Provider business mailing address

923 PAUL ST
ORLANDO FL
32808-7546
US

V. Phone/Fax

Practice location:
  • Phone: 321-663-8112
  • Fax:
Mailing address:
  • Phone: 321-663-8112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHONDRICA HOWARD
Title or Position: CEO
Credential:
Phone: 321-663-4897