Healthcare Provider Details

I. General information

NPI: 1043918584
Provider Name (Legal Business Name): EMBRACING CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 S KELLER RD UNIT 1320
ORLANDO FL
32810-6229
US

IV. Provider business mailing address

545 S KELLER RD UNIT 1320
ORLANDO FL
32810-6229
US

V. Phone/Fax

Practice location:
  • Phone: 757-227-8101
  • Fax:
Mailing address:
  • Phone: 757-227-8101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: EVELYN HAPPY BODDIE
Title or Position: OWNER
Credential:
Phone: 757-227-8101