Providence Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROVIDENCE HOMECARE LLC

Practice address

10250 SW 56TH St Ste D101
Miami, FL 33165-7065

Phone

(305) 220-1088

NPI assigned

Mar 22, 2021

Organization subpart

Yes

Parent organization

PROVIDENCE HOMECARE LLCAs reported in NPPES

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

Authorized official

Name

Nercy B Radcliffe

Title

Administrator

Phone

(305) 220-1088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Providence Homecare - Monroe Other name

Tax ID family

Providence Homecare LLC2 organizations share this tax ID, including this one

Part of

Providence Homecare LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Providence Homecare LLC

  • Nursing Care Agency
  • Miami, FL
  • NPI 1174039473
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Providence Homecare LLC

  • Nursing Care Agency
  • Miami, FL
  • NPI 1174039473
  NPPES parent name

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1043896905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE D101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657065",
            "telephone_number": "305-220-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE D101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657065",
            "telephone_number": "305-220-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HOMECARE LLC",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "NERCY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-220-1088"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102544500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Homecare - Monroe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Provena Medequip LLC
• Providence Community Center LLC
• Providence Healthcare
• Providence Healthcare Services, Inc.
• Providence Healthcare Services, Inc.
• Providence Homecare LLC
• Providence Medical Center Inc
• Providence Professional Services Group Inc
• Providence Services Group Inc
• Provider Operation Consulting Firm LLC

• In Home Supportive Care Agency in Miami, FL
• Providers in Miami, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.