NPIMap

Organization Active NPI

Palm Beach Home Care Agency

  • In Home Supportive Care Agency
  • Boca Raton, FL
National Provider Identifier
1184992802
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
228299 Issued in FL
Legal business name
PALM BEACH HOME CARE AGENCY
Practice address
1700 N Dixie Hwy Ste 148
Boca Raton, FL 33432-1808
Phone
(561) 338-7775
Fax
(561) 338-6177
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mrs. Martha Tovar Coston
Title
Administrator
Phone
(561) 338-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 228299 FL Primary

Addresses

Primary practice location

1700 N Dixie Hwy Ste 148
Boca Raton, FL 33432-1808

Mailing address

1700 N Dixie Hwy Ste 148
Boca Raton, FL 33432-1808
Phone (561) 338-7775

Other identifiers 1

IdentifierTypeStateIssuer
6861903MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1184992802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY STE 148",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321808",
            "telephone_number": "561-338-7775",
            "fax_number": "561-338-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY STE 148",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321808",
            "telephone_number": "561-338-7775",
            "fax_number": "561-338-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "COSTON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "TOVAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-338-7775",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "228299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6861903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.