Organization Active NPI

Desirable Home Care LLC

  • Home Health Agency
  • Tallahassee, FL
National Provider Identifier
1124615414
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DESIRABLE HOME CARE LLC
Practice address
4768 Woodville Hwy Apt 1723
Tallahassee, FL 32305-0946
Phone
(850) 320-7442
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Ms. Conisha D Anderson
Title
Owner
Phone
(850) 320-7442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4768 Woodville Hwy Apt 1723
Tallahassee, FL 32305-0946

Mailing address

4768 Woodville Hwy Apt 1723
Tallahassee, FL 32305-0946
Phone (850) 320-7442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1124615414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 WOODVILLE HWY APT 1723",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323050946",
            "telephone_number": "850-320-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4768 WOODVILLE HWY APT 1723",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323050946",
            "telephone_number": "850-320-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRABLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CONISHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-320-7442",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.