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EVERNORTH DIRECT HEALTH LLC
NPI 1336907955
Clinic/Center in Kissimmee, FL

Active since March 08, 2024CLIA 10D2305135 · Waiver
100 N ALASKA AVE, KISSIMMEE, FL 34741(623) 277-1190 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evernorth Direct Health Llc NPPES

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

EVERNORTH DIRECT HEALTH LLC (NPI 1336907955) is a healthcare organization registered as a clinic/center in Kissimmee, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1336907955
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address100 N ALASKA AVEKissimmee, FL 34741-5973
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951
Phone(623) 277-1190
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1336907955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
100 N ALASKA AVE, Kissimmee, FL 34741
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Other Names 1

Other NameCity Of Kissimmee-toho Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2305135

Evernorth Direct Health LLC · Kissimmee, FL
Active · expires May 23, 2028
CLIA Number10D2305135
Laboratory TypeOutpatient
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorMichael Soler
Laboratory Phone(480) 868-0646
Laboratory LocationEvernorth Direct Health LLC100 North Alaska Avenue, Kissimmee, FL 34741
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PREMISE HEALTH OF FLORIDA MEDICAL PA
Clinic/Center (Multi-Specialty)
100 N ALASKA AVE
KISSIMMEE, FL 34741
Osceola County (407) 943-7895

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 Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1336907955. It was assigned to this organization in the NPPES registry on March 8, 2024. The provider is also known as City of Kissimmee-TOHO Wellness Center.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 100 N Alaska Ave, Kissimmee, FL 34741. The listed phone number is (623) 277-1190.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2305135) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.