Organization Active NPI

D381G, Inc.

  • In Home Supportive Care Agency
  • Palm Bay, FL
National Provider Identifier
1124336409
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
231664 Issued in FL
Legal business name
D381G, INC.
Practice address
4961 Babcock St NE
Suite 8
Palm Bay, FL 32905-2800
Phone
(321) 914-3999
Fax
(321) 914-3996
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Mr. Byron Keith Kelley
Title
President
Phone
(321) 914-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 231664 FL Primary

Addresses

Primary practice location

4961 Babcock St NE
Suite 8
Palm Bay, FL 32905-2800

Mailing address

4961 Babcock St NE
Suite 8
Palm Bay, FL 32905-2800
Phone (321) 914-3999

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

4961 Babcock St NE
Ste 8
Palm Bay, FL 32905
Phone (321) 914-3999

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1124336409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 BABCOCK ST NE",
            "address_2": "SUITE 8",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052800",
            "telephone_number": "321-914-3999",
            "fax_number": "321-914-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 BABCOCK ST NE",
            "address_2": "SUITE 8",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052800",
            "telephone_number": "321-914-3999",
            "fax_number": "321-914-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D381G, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-914-3999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "231664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.