Restored Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RESTORED HOMECARE LLC

Practice address

5041 Northern Lights Dr
Greenacres, FL 33463-5937

Phone

(561) 779-1522

Fax

(561) 516-7270

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Fisela Charles, RN

Title

Manage

Phone

(561) 779-1522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1043030257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 NORTHERN LIGHTS DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635937",
            "telephone_number": "561-779-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 NORTHERN LIGHTS DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635937",
            "telephone_number": "561-779-1522",
            "fax_number": "561-516-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "FISELA",
        "authorized_official_title_or_position": "MANAGE",
        "authorized_official_telephone_number": "561-779-1522",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Greenacres, FL
• Providers in Greenacres, 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 14, 2024; 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.