OrganizationActive
Randolph Rodriguez
NPI 1922493170 · Pediatric Skilled Nursing Facility · Kissimmee, FL
Provider details
- NPI number
- 1922493170
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Randolph Rodriguez, President(407) 558-5656
- License
- OTA 13834 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2434 Benjamin Dr
Kissimmee, FL 34744-2722
Phone: (407) 558-5656
Fax: (321) 251-6542
Street-level locationGet directions
Mailing address
2434 Benjamin Dr
Kissimmee, FL 34744-2722
Other names (DBA / former)
- Other name
- Randolph Rodriguez
Registry dates
- Enumerated
- 2015-04-04
- Last updated
- 2015-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.