Determined Care Home Health

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

PN5211091 Issued in FL

Legal business name

DETERMINED CARE HOME HEALTH

Practice address

648 NE 34TH CT
Oakland Park, FL 33334-2850

Phone

(954) 245-5129

Fax

(954) 827-2349

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Phachle Altidor, LPN

Title

Owner

Phone

(954) 245-5129

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1164936233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 NE 34TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342850",
            "telephone_number": "954-245-5129",
            "fax_number": "954-827-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 NE 34TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342850",
            "telephone_number": "954-245-5129",
            "fax_number": "954-827-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETERMINED CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "ALTIDOR",
        "authorized_official_first_name": "PHACHLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-245-5129",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "PN5211091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "82-34460552",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Desir
• Alberto Quintin Despaigne, DDS
• Michel-Ange Edouard Destine
• Marie Desvarennes, TT
• Determined Care
• Kitming Andres Diaz Silva
• Eileen Agnes Diaz, A.R.N.P.
• Ashley Dixon, D.C.
• DME of Sunrise LLC
• Jean Robert Dorestin, APRN

• In Home Supportive Care Agency in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.