Active NPI
Abc Home Care Facility, LLC
- Registered Nurse
- Royal Palm Beach, FL
National Provider Identifier
1003283375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 9184296
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 599077 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- West Palm Beach, FL
- NPI 1255708533
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.