MEDICARE: CENTRAL FLORIDA CARE GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	164W00000X	Licensed Practical Nurse
3	251E00000X	Home Health Agency
4	251J00000X	Nursing Care Agency
5	253Z00000X	In Home Supportive Care Agency
6	261QD1600X	Developmental Disabilities Clinic/Center
7	372600000X	Adult Companion
8	3747P1801X	Personal Care Attendant
9	376J00000X	Homemaker
10	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
11	385HR2065X	Child Physical Disabilities Respite Care
12	3747A0650X	Attendant Care Provider

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346697463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA CARE GROUP, INC.

Provider Business Mailing Address
First Line	:	55 N DOVERPLUM AVE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-3308
Country	:	US
Telephone Number	:	407-499-4456
Fax Number	:	863-496-2524

Provider Business Practice Location Address
First Line	:	55 N DOVERPLUM AVE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-3308
Country	:	US
Telephone Number	:	407-499-4456
Fax Number	:	863-496-2524

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. TRACEY-ANN ORTIZ
Credential	:
Telephone Number	:	407-202-8279

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	02/18/2025

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Directions to “CENTRAL FLORIDA CARE GROUP, INC. ” Practice Location

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