Edith Berrien Homehealth Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2340450000 Issued in FL

Legal business name

EDITH BERRIEN HOMEHEALTH SERVICE

Practice address

6011 Vel Street
Wimauma, FL 33598

Phone

(813) 508-4923

Fax

(813) 634-5200

NPI assigned

Oct 15, 2010

Organization subpart

No

Name

Mrs. Edith Stephens Berrien, HOMEHEALTH

Title

Owner

Phone

(813) 508-4923

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2010.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1184934895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "address_2": "6011 VEL STREET",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "33598",
            "telephone_number": "813-508-4923",
            "fax_number": "813-634-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 VEL STREET",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "33598",
            "telephone_number": "813-508-4923",
            "fax_number": "813-634-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH BERRIEN HOMEHEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "BERRIEN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "STEPHENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-508-4923",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HOMEHEALTH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "2340450000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.