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MR. DAVID CHRISTOPHER WADE
NPI 1184902157
Assisted Living Facility - Assisted Living, Mental Illness in Orlando, FL

Active since July 25, 2011
4623 EBONY ST, ORLANDO, FL 32811(407) 990-6333(321) 206-4502 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2016, Sep 28, 2015 (2 updates tracked since 2015).

About Mr. David Christopher Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID CHRISTOPHER WADE (NPI 1184902157) is an individual assisted living, mental illness provider in Orlando, Florida and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1184902157
Entity TypeIndividualMale
Primary Taxonomy3104A0625X
Provider Legal NameMR. DAVID CHRISTOPHER WADE
Location Address4623 EBONY STOrlando, FL 32811-3823
Mailing Address4623 Ebony StOrlando, FL 32811-3823 · (407) 990-6333 · Fax (321) 206-4502
Phone(407) 990-6333
Fax(321) 206-4502
Sole ProprietorYes
Enumeration DateJuly 25, 2011
Last NPPES UpdateFebruary 10, 20162 updates tracked since enumeration
✔ NPI 1184902157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Also ListedHome HealthTaxonomy 251E00000X · License 007902900 (FL), 003905100 (FL)
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHomemakerTaxonomy 376J00000X · License 232909 (FL)
4623 EBONY ST, Orlando, FL 32811
Open in Google Maps ↗

Other Identifiers 1

Medicaid007902900FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVIDS HOLISTIC CARE CENTER INC.
Home Health
4623 EBONY ST
ORLANDO, FL 32811
Orange County (407) 990-6333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Wade's NPI number?

The NPI number for David Wade is 1184902157. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is David Wade located?

David Wade practices at 4623 Ebony St, Orlando, FL 32811. The listed phone number is (407) 990-6333.

What is David Wade's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for David Wade was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.