Organization Active NPI

BH Vero PTL, LLC

  • In Home Supportive Care Agency
  • Vero Beach, FL
National Provider Identifier
1144573932
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BH VERO PTL, LLC
Doing business as
Comfort Keepers #844
Practice address
722 20TH Street
Vero Beach, FL 32960
Phone
(772) 978-7719
Fax
(772) 978-7721
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Mr. Anthony Lanier Brooks
Title
Owner
Phone
(407) 542-7821

Specialties & licenses 1

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

Addresses

Primary practice location

722 20TH Street
Vero Beach, FL 32960

Mailing address

1750 W. Broadway Street Suite 220
Oviedo, FL 32765
Phone (407) 542-7821

Other names 1

  • Comfort Keepers #844 Doing business as

National Provider Directory

National Provider Directory

Locations

1750 W Broadway St
Ste 220
Oviedo, FL 32765

722 20th St
Vero Beach, FL 32960
Phone (772) 978-7719

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1144573932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W. BROADWAY STREET SUITE 220",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-542-7821",
            "fax_number": "407-542-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 20TH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-978-7719",
            "fax_number": "772-978-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH VERO PTL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LANIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-542-7821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #844",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.