Organization Active NPI

Homereach, LLC

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1013296227
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMEREACH, LLC
Practice address
8000 S US Hwy 1
Suite 200
Port St Lucie, FL 34952
Phone
(772) 878-3534
Fax
(772) 878-3303
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Ms. Lisa Braun, RN
Title
Administrator
Phone
(772) 878-3534

Specialties & licenses 1

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

Addresses

Primary practice location

8000 S US Hwy 1
Suite 200
Port St Lucie, FL 34952

Mailing address

8000 S US Hwy 1
Suite 200
Port St Lucie, FL 34952
Phone (772) 878-3534

Other identifiers 1

IdentifierTypeStateIssuer
007292100MedicaidFL

National Provider Directory

National Provider Directory

Locations

8000 S US Highway 1
Ste 400
Port Saint Lucie, FL 34952
Phone (772) 878-3534

8000 S US Highway 1
Ste 200
Port St Lucie, FL 34952
Phone (561) 343-0913

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1013296227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S US HWY 1",
            "address_2": "SUITE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-878-3534",
            "fax_number": "772-878-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 S US HWY 1",
            "address_2": "SUITE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-878-3534",
            "fax_number": "772-878-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEREACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-878-3534",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007292100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.