Brevard Affordable Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BREVARD AFFORDABLE HOME CARE AGENCY LLC

Practice address

2460 N Courtenay Pkwy
Suite 103
Merritt Island, FL 32953-4101

Phone

(321) 355-7701

Fax

(321) 355-7701

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dena Marie Devarney, PRESIDENT

Title

President/Director

Phone

(321) 355-7701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1164960803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 N COURTENAY PKWY",
            "address_2": "SUITE 103",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534101",
            "telephone_number": "321-355-7701",
            "fax_number": "321-355-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N COURTENAY PKWY",
            "address_2": "SUITE 103",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534101",
            "telephone_number": "321-355-7701",
            "fax_number": "321-355-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD AFFORDABLE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "DEVARNEY",
        "authorized_official_first_name": "DENA MARIE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "321-355-7701",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Bradley, OTA
• Elizabeth Jane Brady, OTA
• Susan L Bragonje, RN
• Rachel Brasher, LCSW
• Lola Brasington
• Brevard Affordable Home Care Agency, Inc.
• Brevard Affordable Home Care, LLC
• Brevard Arthritis Center Inc
• Brevard Cardiology Physicians PA
• Brevard Counseling, LLC

• In Home Supportive Care Agency in Merritt Island, FL
• Providers in Merritt Island, 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 Feb 2, 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.