Organization Active NPI

A-1 Community Choice

  • Home Health Agency
  • Titusville, FL
National Provider Identifier
1194912659
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A-1 COMMUNITY CHOICE
Practice address
350 N Washington Ave
Suite B
Titusville, FL 32796-5806
Phone
(321) 269-8563
NPI assigned
Sep 28, 2007
Last updated
Oct 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Elizabeth Shocklee
Title
Owner
Phone
(321) 269-8563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

350 N Washington Ave
Suite B
Titusville, FL 32796-5806

Mailing address

350 N Washington Ave
Suite B
Titusville, FL 32796-5806

Other identifiers 1

IdentifierTypeStateIssuer
691342396MedicaidFL

National Provider Directory

National Provider Directory

Locations

350 N Washington Ave
Ste B
Titusville, FL 32796
Phone (321) 269-8563

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1194912659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N WASHINGTON AVE",
            "address_2": "SUITE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327965806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WASHINGTON AVE",
            "address_2": "SUITE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327965806",
            "telephone_number": "321-269-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 COMMUNITY CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-269-8563"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691342396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.