Leah Antoinette Owens, MS, CCM

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

39972617 Issued in FL

Practice address

24 Poulton Dr NW
Fort Walton Beach, FL 32548-4500

Phone

(813) 847-4226

Fax

(850) 601-9710

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leah Antoinette Griswould Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hadassah Home Care LLC

  • Attendant Care Provider
  • Mary Esther, FL
  • NPI 1265143192
  NPD Authorized official
• Legacy Home Care Services LLC

  • In Home Supportive Care Agency
  • Mary Esther, FL
  • NPI 1710821533
  NPD Authorized official

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1104597244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 POULTON DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484500",
            "telephone_number": "813-847-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 POULTON DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484500",
            "telephone_number": "813-847-4226",
            "fax_number": "850-601-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "LEAH",
        "middle_name": "ANTOINETTE",
        "credential": "MS, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "39972617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "GRISWOULD",
            "middle_name": "ANTOINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phillip Z Ostrowski, PTA
• Marcos Otero, PA-C
• Tara Marie Otto, MD
• Stephanie Owen
• Cheryl Anne Owens, PHARM D
• Naomi Ozbun
• Meagan M Ozee, PT
• Vamsi Krishna Pachchipulusu, M.D
• Pacifica Walton Beach LLC
• Susan Page

• Home Health Aide in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.