Organization Active NPI

Caresouth HHA Holdings of Central Florida, LLC

  • Home Health Agency
  • Ocala, FL
National Provider Identifier
1033178587
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299991513 Issued in FL
Legal business name
CARESOUTH HHA HOLDINGS OF CENTRAL FLORIDA, LLC
Practice address
1805 SE 16TH Avenue
BLDG 600, Suite 603
Ocala, FL 34471-4678
Phone
(352) 873-0475
Fax
(352) 291-5136
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Mr. Rick W Griffin
Title
Pres/Ceo
Phone
(706) 855-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299991513 FL Primary

Addresses

Primary practice location

1805 SE 16TH Avenue
BLDG 600, Suite 603
Ocala, FL 34471-4678

Mailing address

PO Box 200
Augusta, GA 30903-0200
Phone (706) 855-5533

Other identifiers 1

IdentifierTypeStateIssuer
650919300MedicaidFL

Other names 1

  • CareSouth Homecare Professionals Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3231 SW 34th Ave
Ocala, FL 34474
Phone (352) 873-7400

1805 SE 16th Ave
Bldg 600
Ocala, FL 34471
Phone (352) 873-0475

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1033178587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030200",
            "telephone_number": "706-855-5533",
            "fax_number": "706-854-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 SE 16TH AVENUE",
            "address_2": "BLDG 600, SUITE 603",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714678",
            "telephone_number": "352-873-0475",
            "fax_number": "352-291-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HHA HOLDINGS OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "706-855-5533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650919300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSouth Homecare Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.