Organization Active NPI

Palm Beach Staffing Inc

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1164574224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA20896096 Issued in FL
Legal business name
PALM BEACH STAFFING INC
Practice address
1261 S Congress Ave
West Palm Beach, FL 33406-5172
Phone
(561) 433-9666
Fax
(561) 433-9413
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Harold Watson
Title
Assistant Administrator
Phone
(561) 433-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA20896096 FL Primary

Addresses

Primary practice location

1261 S Congress Ave
West Palm Beach, FL 33406-5172

Mailing address

1261 S Congress Ave
West Palm Beach, FL 33406-5172
Phone (561) 433-9666

Other identifiers 1

IdentifierTypeStateIssuer
HHA20896096OtherFLHOME HEALTH AGENCY LIC #

National Provider Directory

National Provider Directory

Locations

1261 S Congress Ave
West Palm Beach, FL 33406
Phone (561) 814-8143

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164574224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065172",
            "telephone_number": "561-433-9666",
            "fax_number": "561-433-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065172",
            "telephone_number": "561-433-9666",
            "fax_number": "561-433-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH STAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "561-433-9666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA20896096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LIC #",
            "identifier": "HHA20896096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • 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.