Active NPI
Antoinette Lacy
- Home Health Agency
- Lighthouse Point, FL
National Provider Identifier
1053868851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- P16000070725
- Practice address
- 3170 N Federal Hwy Ste 100N
Lighthouse Point, FL 33064-6881 - Phone
- (954) 304-3565
- NPI assigned
- Sep 8, 2016
- Last updated
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | P16000070725 | FL | Primary |
Addresses
Primary practice location
3170 N Federal Hwy Ste 100N
Lighthouse Point, FL 33064-6881
Mailing address
3170 N Federal Hwy Ste 100N
Lighthouse Point, FL 33064-6881
Phone (954) 304-3565
Other practice location 1
230 NW 18th St
Pompano Beach, FL 33060-5262
Phone (954) 253-2728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P16000070725 | Other | FL | CORPORATION LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16000070725 | FL | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annies Gentle Home Care, Inc | Home Health | Current | Accepting new patients |
Locations
3170 N Federal Hwy
Ste 100N
Lighthouse Point, FL 33064
Phone (954) 304-3565
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Aide
- Lighthouse Point, FL
- NPI 1992577571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1053868851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 N FEDERAL HWY STE 100N",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646881",
"telephone_number": "954-304-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 N FEDERAL HWY STE 100N",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646881",
"telephone_number": "954-304-3565"
}
],
"practiceLocations": [
{
"address_1": "230 NW 18th St",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330605262",
"country_code": "US",
"telephone_number": "954-253-2728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACY",
"first_name": "ANTOINETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "P16000070725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATION LICENSE NUMBER",
"identifier": "P16000070725",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.