Individual provider Active NPI

John H Rodriguez

  • Home Health Aide
  • Boca Raton, FL
National Provider Identifier
1154719706
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
30210973 Issued in FL
Practice address
1499 W Palmetto Park Rd
Suite 115
Boca Raton, FL 33486-3328
Phone
(561) 417-9272
Fax
(561) 417-9640
NPI assigned
Jan 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 30210973 FL Primary

Addresses

Primary practice location

1499 W Palmetto Park Rd
Suite 115
Boca Raton, FL 33486-3328

Mailing address

1499 W Palmetto Park Rd
Suite 115
Boca Raton, FL 33486-3328
Phone (561) 417-9272

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

LicenseStateTypeSpecialty
30210973FLMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Elderfriend Inc Past Accepting new patients
Elderfriend, Inc. Pif Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1154719706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 W PALMETTO PARK RD",
            "address_2": "SUITE 115",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863328",
            "telephone_number": "561-417-9272",
            "fax_number": "561-417-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 W PALMETTO PARK RD",
            "address_2": "SUITE 115",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863328",
            "telephone_number": "561-417-9272",
            "fax_number": "561-417-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "30210973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.