Active NPI
Pinellas Professional Home Care,Inc.
- In Home Supportive Care Agency
- Clearwater, FL
National Provider Identifier
1053619320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PINELLAS PROFESSIONAL HOME CARE,INC.
- Practice address
- 2075 Dunston Cove Rd
Clearwater, FL 33755-1316 - Phone
- (727) 418-4198
- Fax
- (727) 467-0923
- NPI assigned
- Mar 10, 2011
- Last updated
- Mar 10, 2011
- 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
- Mr. Amir Malak
- Title
- President
- Phone
- (727) 418-4198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2075 Dunston Cove Rd
Clearwater, FL 33755-1316
Mailing address
2075 Dunston Cove Rd
Clearwater, FL 33755-1316
Phone (727) 418-4198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691579596 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299715200000",
"number": "1053619320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 DUNSTON COVE RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337551316",
"telephone_number": "727-418-4198",
"fax_number": "727-467-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 DUNSTON COVE RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337551316",
"telephone_number": "727-418-4198",
"fax_number": "727-467-0923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINELLAS PROFESSIONAL HOME CARE,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A",
"authorized_official_last_name": "MALAK",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-418-4198",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "691579596",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
- Pinellas Dental Arts
- Pinellas Education Organization, Inc. (Enterprise High School)
- Pinellas Ekg Interpreters Inc
- Pinellas Infectious Disease Physicians PA
- Pinellas Physiatry Associates PA
- Pinellas Radiation Oncology Associates
- Pinellas Therapy LLC
- Pinellaspediatrics
- Kerri Piniero, MASTERS
- Brian Pink, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.