Haley Stephens, RN
Individual provider Active NPI Home Health Agency · Clearwater Beach, FL
NPI 1124729009 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1124729009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1146722 (KY)
- Practice address
- 880 Mandalay Ave
Clearwater Beach, FL 33767-1242 - Phone
- (727) 463-5670
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1146722 | KY | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1146722 | KY | Yes |
Addresses
Primary practice location
880 Mandalay Ave
Clearwater Beach, FL 33767-1242
Mailing address
PO Box 16011
Clearwater, FL 33766-6011
Other providers in Clearwater Beach, FL
- Aleksander Precaj
- Aryk Rivoli-Johnson
- Roxanne A Rohn
- Ramona Fatima Santos
- Sarah P Sofianos
- Supplies Plus FL Inc
- Maria Elizabeth Van Bemmel
- Emil F Veltre
- Wellosophy Corporation
All providers in Clearwater Beach, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.