Active NPI
Fidelity Home Health Care, Inc.
Doing business as Fidelity Home Nursing Services
- Home Health Agency
- Wellington, FL
National Provider Identifier
1073729661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211207
- Legal business name
- FIDELITY HOME HEALTH CARE, INC.
- Doing business as
- Fidelity Home Nursing Services
- Practice address
- 12161 Ken Adams Way
Suite 213
Wellington, FL 33414-3192 - Phone
- (561) 868-2650
- Fax
- (561) 868-2651
- NPI assigned
- May 14, 2007
- 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
- Mrs. Julie A Highsmith, BBA
- Title
- Administrator
- Phone
- (561) 868-2650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30211207 | FL | Primary |
Addresses
Primary practice location
12161 Ken Adams Way
Suite 213
Wellington, FL 33414-3192
Mailing address
12161 Ken Adams Way
Suite 213
Wellington, FL 33414-3192
Phone (561) 868-2650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688405900 | Medicaid | FL |
Other names 1
- Fidelity Home Nursing Services
National Provider Directory
National Provider DirectoryLocations
12161 Ken Adams Way
Ste 213
Wellington, FL 33414
Phone (561) 868-2650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477612800000",
"number": "1073729661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12161 KEN ADAMS WAY",
"address_2": "SUITE 213",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143192",
"telephone_number": "561-868-2650",
"fax_number": "561-868-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12161 KEN ADAMS WAY",
"address_2": "SUITE 213",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143192",
"telephone_number": "561-868-2650",
"fax_number": "561-868-2651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIDELITY HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2016-10-28",
"status": "A",
"authorized_official_last_name": "HIGHSMITH",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "561-868-2650",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "30211207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688405900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fidelity Home Nursing Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.