Mederi of Palm Beach County, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20693096 Issued in FL

Legal business name

MEDERI OF PALM BEACH COUNTY, INC.

Practice address

4723 W Atlantic Ave
Ste A14
Delray Beach, FL 33445-3895

Phone

(561) 381-1077

Fax

(561) 496-0357

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. C. Steven Guenthner

Title

Sr VP, Cfo

Phone

(502) 891-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154317204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE",
            "address_2": "STE A14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453895",
            "telephone_number": "561-381-1077",
            "fax_number": "561-496-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERI OF PALM BEACH COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUENTHNER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SR VP, CFO",
        "authorized_official_telephone_number": "502-891-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20693096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "H57",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Med First Urgent Care Centers, Inc
• Med-Manage Group, Inc
• Medcorp PLC, Inc. (Medcorp)
• Noel Eileen Medeiros, CRNP
• Mederi Caretenders VS of Broward, LLC (Mederi Caretenders)
• Medical Associates of Delray, PA
• Medical Associates of Florida, LLC
• Medical Screenings Unlimited, Inc. (Medical Screenings Unlimited)
• Medical Specialty Group of South Florida LLC
• Medical Supply Depot Inc

• Home Health Agency in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Home Health Agency in Florida

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