Active NPI
Egan Clearwater Health
- Home Health Agency
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EGAN CLEARWATER HEALTH
- Practice address
- 19321 US Highway 19 N
Clearwater, FL 33764-3169 - Phone
- (801) 360-7973
- NPI assigned
- Sep 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent H Egan, NP
- Title
- Owner/ President
- Phone
- (801) 360-7973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
19321 US Highway 19 N
Clearwater, FL 33764-3169
Mailing address
19321 US Highway 19 N
Clearwater, FL 33764-3169
Phone (801) 360-7973
Other names 1
- Interim Healthcare of Clearwater, Florida
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2305065 | Interim Healthcare of Clearwater | Certificate of waiver | May 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
19321B US Highway 19 N
Clearwater, FL 33764
Phone (801) 360-7973
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lehi, UT
- NPI 1376634998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1053199604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19321 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643169",
"telephone_number": "801-360-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19321 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643169",
"telephone_number": "801-360-7973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EGAN CLEARWATER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A",
"authorized_official_last_name": "EGAN",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "801-360-7973",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim Healthcare of Clearwater, Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.