=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073468047
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GOOD NATURED CARE OF ORLANDO, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2026
-----------------------------------------------------
Last Update Date | 03/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2164 SCRUB JAY RD
-----------------------------------------------------
City | APOPKA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32703-1691
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-317-1077
-----------------------------------------------------
Fax | 866-970-2235
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2164 SCRUB JAY RD
-----------------------------------------------------
City | APOPKA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32703-1691
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-317-1077
-----------------------------------------------------
Fax | 866-970-2235
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR
-----------------------------------------------------
Name | DEBBIE DAMEUS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-793-3537
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------