Grandpa Home Health, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

GRANDPA HOME HEALTH, LLC

Practice address

1499 Forest Hill Blvd Ste 119
West Palm Beach, FL 33406-6050

Phone

(561) 774-8569

Fax

(561) 763-1300

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Nancy Fernandez

Title

Administrator

Phone

(561) 774-8569

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1164030235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD STE 119",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-774-8569",
            "fax_number": "561-763-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD STE 119",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-774-8569",
            "fax_number": "561-763-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-774-8569"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Alexandre Grand, D.C.
• Christopher J Grande, PHYSICAL THERAPIST
• Alexandra Fiorella Grandez
• Jermaine D Grandison
• Grandma Home Care LLC
• William Grandy Jr.
• Kelly Marie Granger
• Andrea O, Grant, ARNP
• Breyanna Grant
• Keaton Grant, PHARMD

• Home Health Registered Nurse in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.