Clean Cookie

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLEAN COOKIE

Practice address

6518 Stone Rd
Port Richey, FL 34668-4860

Phone

(727) 225-6286

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Tia Ketter

Title

RN

Phone

(727) 225-6286

Specialties & licenses 2

Addresses

Other names 1

• GENTLE HELPERS Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1003458910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 STONE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684860",
            "telephone_number": "727-225-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 STONE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684860",
            "telephone_number": "727-225-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN COOKIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "KETTER",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "727-225-6286"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cleancookie09@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6518 Stone Rd",
            "city": "Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346684860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GENTLE HELPERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Chin
• Suzanne Louise Chircop
• Erin Chmiel-Hudson
• Mikayla Chu
• Ryan Chu, AP
• Virginia Denise Cleaver, PHARMD, RPH, CPH
• Scott D Clough, OD
• Coast Florida P.a.
• Caitlin Cody, PTA
• Connect & Grow Therapy Inc

• Home Health Agency in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.