Individual provider Active NPI

Elaine C Murphy

  • Chore Provider
  • Ormond Beach, FL
National Provider Identifier
1063676278
Registry record updated Sep 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Practice address
129 Beau Rivage Drive
Ormond Beach, FL 32176
Phone
(386) 441-7899
Fax
(386) 441-7899
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 372600000X FL
Respite Care 385H00000X 385HR2050X FL
Chore Provider 372500000X Primary
Personal Care Attendant 3747P1801X
Homemaker 376J00000X

Addresses

Primary practice location

129 Beau Rivage Drive
Ormond Beach, FL 32176

Mailing address

129 Beau Rivage Drive
Ormond Beach, FL 32176
Phone (386) 441-7899

Other identifiers 3

IdentifierTypeStateIssuer
681124898MedicaidFL
681124898OtherFLMEDWAIVER PROVIDER
681124896OtherFLMEDWAIVER PROVIDER NUMBER

Other names 1

  • Ms. Elaine C Gosselin Other name

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

LicenseStateTypeSpecialty
372600000XFLMDAdult Companion
385HR2050XFLMDRespite Care

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221350400000",
    "number": "1063676278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BEAU RIVAGE DRIVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32176",
            "telephone_number": "386-441-7899",
            "fax_number": "386-441-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BEAU RIVAGE DRIVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32176",
            "telephone_number": "386-441-7899",
            "fax_number": "386-441-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "ELAINE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "372600000X",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "385HR2050X",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681124898",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDWAIVER PROVIDER",
            "identifier": "681124898",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDWAIVER PROVIDER NUMBER",
            "identifier": "681124896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "GOSSELIN",
            "middle_name": "C",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.