# HODGE'S GROUP HOME, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477922417
- **Authorized official:** DEBORAH HODGE (PRESIDENT)
- **Authorized official phone:** (407) 496-7356

## Contact information

- **Practice address:** 4001 KALUGA PARK ST, ORLANDO, FL 32808-7473
- **Practice address phone:** (407) 496-7356
- **Mailing address:** 4001 KALUGA PARK ST, ORLANDO, FL 32808-7473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 09/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 684197001 | — | FL |