NPIMap

Organization Active NPI

Sundiaz Home Care Professionals LLC

  • In Home Supportive Care Agency
  • Melbourne, FL
National Provider Identifier
1124267133
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
230612 Issued in FL
Legal business name
SUNDIAZ HOME CARE PROFESSIONALS LLC
Practice address
927 E New Haven Ave
Suite 308
Melbourne, FL 32901-5417
Phone
(321) 961-7003
Fax
(321) 728-0162
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Mrs. Raquel Diaz-Santiago
Title
President
Phone
(321) 961-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 230612 FL Primary

Addresses

Primary practice location

927 E New Haven Ave
Suite 308
Melbourne, FL 32901-5417

Mailing address

927 E New Haven Ave
Suite 308
Melbourne, FL 32901-5417
Phone (321) 961-7003

National Provider Directory

National Provider Directory

Locations

927 E New Haven Ave
Ste 308
Melbourne, FL 32901
Phone (321) 961-7003

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1124267133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E NEW HAVEN AVE",
            "address_2": "SUITE 308",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015417",
            "telephone_number": "321-961-7003",
            "fax_number": "321-728-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 E NEW HAVEN AVE",
            "address_2": "SUITE 308",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015417",
            "telephone_number": "321-961-7003",
            "fax_number": "321-728-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDIAZ HOME CARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ-SANTIAGO",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-961-7003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "230612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.