Organization Active NPI

Fidelity Home Health Care, Inc.

Doing business as Fidelity Home Nursing Services

  • Home Health Agency
  • Wellington, FL
National Provider Identifier
1073729661
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211207 Issued in FL
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

Updated by the provider on Oct 28, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
688405900MedicaidFL

Other names 1

  • Fidelity Home Nursing Services Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.