Active NPI
Deann T Taylor
- Home Health Agency
- Holiday, FL
National Provider Identifier
1083255731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 5240 Eagle Dr
Holiday, FL 34690-2117 - Phone
- (727) 645-7095
- NPI assigned
- Oct 3, 2019
- 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 | Primary |
Addresses
Primary practice location
5240 Eagle Dr
Holiday, FL 34690-2117
Mailing address
5240 Eagle Dr
Holiday, FL 34690-2117
Phone (727) 645-7095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764753 | Medicaid | FL |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Family.tree24@yahoo.com | ||
| CONNECT URL | HOLIDAY | ||
| CONNECT URL | HOLIDAY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1083255731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 EAGLE DR",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346902117",
"telephone_number": "727-645-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 EAGLE DR",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346902117",
"telephone_number": "727-645-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DEANN",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "764753",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Family.tree24@yahoo.com",
"affiliation": "N",
"address_1": "5240 Eagle Dr",
"city": "Holiday",
"state": "FL",
"country_code": "US",
"postal_code": "346902117",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HOLIDAY",
"affiliation": "N",
"address_1": "5240 Eagle Dr",
"city": "Holiday",
"state": "FL",
"country_code": "US",
"postal_code": "346902117",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HOLIDAY",
"affiliation": "N",
"address_1": "5240 Eagle Dr",
"city": "Holiday",
"state": "FL",
"country_code": "US",
"postal_code": "346902117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Holiday, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.