Organization Active NPI

Willsand Home Health Agency, Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1003849530
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991519 Issued in FL
Legal business name
WILLSAND HOME HEALTH AGENCY, INC
Practice address
9621 SW 40TH St
Miami, FL 33165-4030
Phone
(305) 871-5511
Fax
(305) 871-6611
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Mr. Eulises Escalona, R.N.
Title
Ceo
Phone
(305) 871-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991519 FL Primary

Addresses

Primary practice location

9621 SW 40TH St
Miami, FL 33165-4030

Mailing address

9621 SW 40TH St
Miami, FL 33165-4030
Phone (305) 871-5511

Other identifiers 1

IdentifierTypeStateIssuer
651056600MedicaidFL

National Provider Directory

National Provider Directory

Locations

6501 NW 36th St
#456
Virginia Gardens, FL 33166

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1003849530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654030",
            "telephone_number": "305-871-5511",
            "fax_number": "305-871-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654030",
            "telephone_number": "305-871-5511",
            "fax_number": "305-871-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLSAND HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "ESCALONA",
        "authorized_official_first_name": "EULISES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-871-5511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651056600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.