Organization Active NPI

Randy's Home Care

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1053651794
Registry record updated Feb 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12161 Issued in FL
Legal business name
RANDY'S HOME CARE
Practice address
16201 SW 288TH St
Homestead, FL 33033-1018
Phone
(786) 477-2935
NPI assigned
Feb 17, 2013
Last updated
Feb 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2013

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

Authorized official

Name
Mrs. Elda Isern
Title
Vice President
Phone
(786) 477-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12161 FL Primary

Addresses

Primary practice location

16201 SW 288TH St
Homestead, FL 33033-1018

Mailing address

16201 SW 288TH St
Homestead, FL 33033-1018
Phone (786) 477-2935

Other identifiers 1

IdentifierTypeStateIssuer
12161OtherFLAGENCY FOR THE HEALTH CARE ADMINISTRATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361059200000",
    "number": "1053651794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331018",
            "telephone_number": "786-477-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331018",
            "telephone_number": "786-477-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY'S HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-02-17",
        "status": "A",
        "authorized_official_last_name": "ISERN",
        "authorized_official_first_name": "ELDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-477-2935",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR THE HEALTH CARE ADMINISTRATION",
            "identifier": "12161",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2013; 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.