Organization Active NPI

Abc Home Care Facility, LLC

  • Registered Nurse
  • Royal Palm Beach, FL
National Provider Identifier
1003283375
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 9184296 Issued in FL
Legal business name
ABC HOME CARE FACILITY, LLC
Practice address
301 Mulberry Grove Rd
Royal Palm Beach, FL 33411-4500
Phone
(561) 317-4752
Fax
(561) 795-7391
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Martine Jean, REGISTERED NURSE
Title
Owner
Phone
(561) 317-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN 9184296 FL Primary

Addresses

Primary practice location

301 Mulberry Grove Rd
Royal Palm Beach, FL 33411-4500

Mailing address

301 Mulberry Grove Rd
Royal Palm Beach, FL 33411-4500
Phone (561) 317-4752

Other identifiers 1

IdentifierTypeStateIssuer
599077MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1003283375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MULBERRY GROVE RD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114500",
            "telephone_number": "561-317-4752",
            "fax_number": "561-795-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MULBERRY GROVE RD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114500",
            "telephone_number": "561-317-4752",
            "fax_number": "561-795-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HOME CARE FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-317-4752",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9184296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599077",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.