South Brevard Home Caregivers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

229738 Issued in FL

Legal business name

SOUTH BREVARD HOME CAREGIVERS, INC.

Practice address

1101 W Hibiscus Blvd
Suite 209
Melbourne, FL 32901-2718

Phone

(321) 728-7247

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diana M. E. Williams, B.S. RRT

Title

President

Phone

(321) 728-7247

Specialties & licenses 1

Addresses

Other names 1

• Homewatch CareGivers Serving Melbourne, FL Doing business as

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1104956572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W HIBISCUS BLVD",
            "address_2": "SUITE 209",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012718",
            "telephone_number": "321-728-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W HIBISCUS BLVD",
            "address_2": "SUITE 209",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012718",
            "telephone_number": "321-728-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BREVARD HOME CAREGIVERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M. E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-728-7247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S. RRT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "229738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers Serving Melbourne, FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicolas Sosa
• Myredsi Soto-Varela, M.D.
• Shyheim Soto
• Soul Haven Counseling & Consulting, LLC
• Soulshine Holistic Wellness LLC
• South Brevard Women'S Center, Inc
• Southern Home Care Services, Inc.
• Sovereign Healthcare of Atlantic Shores, LLC
• Trey Sowards, PA-C
• Tristan Soyka, RD

• Home Health Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.