NPIMap

Organization Active NPI

At Talitha Cumi Home Care, Inc.

  • In Home Supportive Care Agency
  • West Palm Beach, FL
National Provider Identifier
1124449335
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
232310 Issued in FL
Legal business name
AT TALITHA CUMI HOME CARE, INC.
Practice address
5405 Okeechobee Blvd Ste 201
West Palm Beach, FL 33417-4544
Phone
(786) 452-1226
Fax
(786) 452-1227
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Yashira M. Rivas
Title
President
Phone
(786) 454-7021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 232310 FL Primary
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

5405 Okeechobee Blvd Ste 201
West Palm Beach, FL 33417-4544

Mailing address

1840 W 49TH St Ste 224
Hialeah, FL 33012-2949
Phone (786) 452-1226

Other identifiers 3

IdentifierTypeStateIssuer
002806204MedicaidFL
109405100MedicaidFL
002806200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
At Talitha Cumi Home Care Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5405 Okeechobee Blvd
Ste 201
West Palm Beach, FL 33417

2240 Palm Beach Lakes Blvd
Ste 104
West Palm Beach, FL 33409

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1124449335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 224",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122949",
            "telephone_number": "786-452-1226",
            "fax_number": "786-452-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174544",
            "telephone_number": "786-452-1226",
            "fax_number": "786-452-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT TALITHA CUMI HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "YASHIRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-454-7021"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "232310",
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002806204",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109405100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002806200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.