EXCELLENCE ASSISTED LIVING FACILITY, LLC - NPI 1912451980 - Assisted Living Facility in Orlando, FL

Q: What is Excellence Assisted Living Facility, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

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About Excellence Assisted Living Facility, Llc NPPES

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

EXCELLENCE ASSISTED LIVING FACILITY, LLC (NPI 1912451980) is a healthcare organization registered as an assisted living facility in Orlando, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Bruno Portigliatti, Coo, as its authorized official.

NPPES Registry Identity

NPI1912451980

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEXCELLENCE ASSISTED LIVING FACILITY, LLC

Location Address2250 S SEMORAN BLVDOrlando, FL 32822-2704

Mailing Address5950 Lakehurst Dr Ste 182Orlando, FL 32819-8363 · (407) 930-9290 · Fax (407) 930-9380

Phone(407) 930-9291

Fax(407) 930-9381

Organization SubpartNo

Authorized OfficialBruno PortigliattiCoo · (407) 930-9290

Enumeration DateAugust 8, 2016

✔ NPI 1912451980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL12850

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2250 S SEMORAN BLVD, Orlando, FL 32822

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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 10D2202347

Excellence Assisted Living Facility LLC · Orlando, FL

Active · expires Nov 24, 2026

CLIA Number10D2202347

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 25, 2024

Certificate Expiration DateNovember 24, 2026

Laboratory DirectorEbony Brinson

Laboratory Phone(407) 930-9291

Laboratory LocationExcellence Assisted Living Facility LLC2250 S Semoran Blvd, Orlando, FL 32822

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Excellence Assisted Living Facility, LLC's NPI number?

The NPI number for Excellence Assisted Living Facility, LLC is 1912451980. It was assigned to this organization in the NPPES registry on August 8, 2016.

Where is Excellence Assisted Living Facility, LLC located?

Excellence Assisted Living Facility, LLC is located at 2250 S Semoran Blvd, Orlando, FL 32822. The listed phone number is (407) 930-9291.

What is Excellence Assisted Living Facility, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Excellence Assisted Living Facility, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2202347) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Excellence Assisted Living Facility, LLC was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.