Clinical Home Care, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1312795 Issued in FL

Legal business name

CLINICAL HOME CARE, INC.

Practice address

11360 Fortune Cir
Suite E29
Wellington, FL 33414-8721

Phone

(561) 333-0078

Fax

(561) 333-0076

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Paneque

Title

Pres Owner

Phone

(561) 333-0078

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013029990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 FORTUNE CIR",
            "address_2": "SUITE E29",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148778",
            "telephone_number": "561-333-0078",
            "fax_number": "561-333-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 FORTUNE CIR",
            "address_2": "SUITE E29",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148721",
            "telephone_number": "561-333-0078",
            "fax_number": "561-333-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PANEQUE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "561-333-0078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1312795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R8876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Clark, MD
• Deon Treseata Clarke
• Sabine Clarke, AP
• Ghislene Clermont, APRN-BC
• Christine Lynn Cline, PT
• Clutch Counseling Services LLC
• Patricia Coates, OTR
• Coby Cares Corporation
• Rosanna Cocilovo
• Megan Leigh Codrington, AA-C

• Oxygen Equipment & Supplies (DME) in Wellington, FL
• Providers in Wellington, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.