Home Health Agency- Palm Beaches, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991617 Issued in FL

Legal business name

HOME HEALTH AGENCY- PALM BEACHES, LLC

Doing business as

OMNI Home Care

Practice address

354 Toney Penna Dr
Suite 2
Jupiter, FL 33458-5776

Phone

(561) 744-4747

Fax

(561) 744-4727

NPI assigned

Jul 8, 2011

Last updated

Aug 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Robin A Cohen

Title

Director of Regulatory Affairs

Phone

(954) 707-5880

Specialties & licenses 1

Addresses

Other names 1

• OMNI Home Care Doing business as

Locations

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1043507122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 HERON BAY BLVD",
            "address_2": "SUITE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763360",
            "telephone_number": "954-707-5880",
            "fax_number": "954-753-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 TONEY PENNA DR",
            "address_2": "SUITE 2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585776",
            "telephone_number": "561-744-4747",
            "fax_number": "561-744-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY- PALM BEACHES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "954-707-5880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Jupiter, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.