Active NPI
Nickolas Alfonso Galarraga
- Home Health Agency
- Clermont, FL
National Provider Identifier
1144028119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 415657
- Practice address
- 1744 Bella Lago Dr
Clermont, FL 34711-4635 - Phone
- (407) 921-9440
- NPI assigned
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 415657 | FL | Primary |
Addresses
Primary practice location
1744 Bella Lago Dr
Clermont, FL 34711-4635
Mailing address
1744 Bella Lago Dr
Clermont, FL 34711-4635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415657 | FL | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1144028119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1744 BELLA LAGO DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347114635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 BELLA LAGO DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347114635",
"telephone_number": "407-921-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALARRAGA",
"first_name": "NICKOLAS",
"middle_name": "ALFONSO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "415657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.