Organization Active NPI

RNJ Home Health Services, Inc

  • Physical Therapy Clinic/Center
  • Brandon, FL
National Provider Identifier
1164726162
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RNJ HOME HEALTH SERVICES, INC
Practice address
47 Camelot Ridge Dr
Brandon, FL 33511-8099
Phone
(813) 508-5474
Fax
(813) 315-9610
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Mr. Randall Walter Grossglass, PTNPI 1033217054
Title
Owner
Phone
(813) 508-5474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

47 Camelot Ridge Dr
Brandon, FL 33511-8099

Mailing address

47 Camelot Ridge Dr
Brandon, FL 33511-8099
Phone (813) 508-5474

Other identifiers 1

IdentifierTypeStateIssuer
891450896/891450898MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000238 FL Part B Supplier - Clinic/Group Practice 4688850043 Receives reassigned benefits from 2 practitioners
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1164726162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAMELOT RIDGE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118099",
            "telephone_number": "813-508-5474",
            "fax_number": "813-315-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CAMELOT RIDGE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118099",
            "telephone_number": "813-508-5474",
            "fax_number": "813-315-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RNJ HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "GROSSGLASS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-508-5474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891450896/891450898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.