Conrad Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CONRAD HEALTHCARE LLC

Practice address

3390 Tamiami TRL
Suite 203
Port Charlotte, FL 33952-8157

Phone

(941) 787-5619

Fax

(941) 787-5618

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Charles Conrad

Title

President

Phone

(239) 292-6754

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Interim HealthCare of Charlotte County Doing business as

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1194128934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 203",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157",
            "telephone_number": "941-787-5619",
            "fax_number": "941-787-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 203",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157",
            "telephone_number": "941-787-5619",
            "fax_number": "941-787-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-292-6754"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LICENSE",
            "identifier": "299994379",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Charlotte County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connect Hearing, Inc.
• John Thomas Connelly, OT
• Terence P Connelly, MD
• Patricia R Connolly, RPH
• Nicholas J Connors, M.D.
• Christopher G Constance, MD
• Ronald Meyer Constine, M.D.
• Julia Ann Conti, SLPA
• Continuitycare Rehab Corp
• Continuum Health Care, P.a.

• Home Health Agency in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.