NPIMap

Organization Active NPI

Providence Homecare LLC

  • Nursing Care Agency
  • Miami, FL
National Provider Identifier
1174039473
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
30211930 Issued in FL
Legal business name
PROVIDENCE HOMECARE LLC
Practice address
10250 SW 56TH St Ste D103
Miami, FL 33165-7065
Phone
(305) 520-5585
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Nercy Radcliffe
Title
Ceo
Phone
(305) 520-5585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 30211930 FL Primary

Addresses

Primary practice location

10250 SW 56TH St Ste D103
Miami, FL 33165-7065

Mailing address

10250 SW 56TH St Ste D103
Miami, FL 33165-7065
Phone (305) 520-5585

National Provider Directory

National Provider Directory
Tax ID family
Providence Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1174039473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE D103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657065",
            "telephone_number": "305-520-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE D103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657065",
            "telephone_number": "305-520-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "NERCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-520-5585"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.