Icon Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ICON HOME HEALTH SERVICES INC

Practice address

13404 SW 128TH St
Miami, FL 33186-5800

Phone

(305) 396-6969

Fax

(305) 675-0844

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Anneliz Portal, RN

Title

Owner/ D.O.N

Phone

(305) 396-6969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1114182334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13404 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865800",
            "telephone_number": "305-396-6969",
            "fax_number": "305-675-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13404 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865800",
            "telephone_number": "305-396-6969",
            "fax_number": "305-675-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "PORTAL",
        "authorized_official_first_name": "ANNELIZ",
        "authorized_official_title_or_position": "OWNER/ D.O.N",
        "authorized_official_telephone_number": "305-396-6969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.