Organization Active NPI

Harborside Comfort Services, LLC

  • Home Health Agency
  • Palm Beach Gardens, FL
National Provider Identifier
1154871093
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HARBORSIDE COMFORT SERVICES, LLC
Practice address
2810 Grande Pkwy
106
Palm Beach Gardens, FL 33410-2931
Phone
(405) 351-7376
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Favelie Innocent
Title
Owner
Phone
(775) 351-7376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2810 Grande Pkwy
106
Palm Beach Gardens, FL 33410-2931

Mailing address

2810 Grande Pkwy
106
Palm Beach Gardens, FL 33410-2931

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1154871093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 GRANDE PKWY",
            "address_2": "106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 GRANDE PKWY",
            "address_2": "106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102931",
            "telephone_number": "405-351-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE COMFORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "INNOCENT",
        "authorized_official_first_name": "FAVELIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-351-7376"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.