NPIMap

Organization Active NPI

Country Doctor Medical Services, Inc

  • Home Health Agency
  • Palm Beach Gardens, FL
National Provider Identifier
1053595850
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
ME59301 Issued in FL
Legal business name
COUNTRY DOCTOR MEDICAL SERVICES, INC
Practice address
11381 Prosperity Farms Rd
Palm Beach Gardens, FL 33410-3403
Phone
(561) 743-2342
Fax
(800) 896-2367
NPI assigned
Dec 28, 2007
Organization subpart
Yes
Parent organization
COUNTRY DOCTOR MEDICAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. Hamilton Carl Platt III, MD
Title
Owner, President, Ceo
Phone
(561) 743-2342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X ME59301 FL Primary

Addresses

Primary practice location

11381 Prosperity Farms Rd
Palm Beach Gardens, FL 33410-3403

Mailing address

932 Marlin Cir
Jupiter, FL 33458-4306
Phone (561) 743-2342

Other names 1

  • Country Doctor House Calls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Country Doctor Medical Services Inc2 organizations share this tax ID, including this one
Part of
Country Doctor Medical Services Inc

Other organizations with this tax ID 1

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1053595850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 MARLIN CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584306",
            "telephone_number": "561-743-2342",
            "fax_number": "866-896-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11381 PROSPERITY FARMS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103403",
            "telephone_number": "561-743-2342",
            "fax_number": "800-896-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY DOCTOR MEDICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTRY DOCTOR MEDICAL SERVICES, INC.",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "HAMILTON",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, CEO",
        "authorized_official_telephone_number": "561-743-2342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "ME59301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Doctor House Calls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.