Active NPI
Community Development and Empowerment Group, Inc.
Doing business as Forward Innovative Home Health Care, Inc.
- Home Health Registered Nurse
- Riviera Beach, FL
National Provider Identifier
1205359320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN9242701
- Legal business name
- COMMUNITY DEVELOPMENT AND EMPOWERMENT GROUP, INC.
- Doing business as
- Forward Innovative Home Health Care, Inc.
- Practice address
- 3148 Laurel Ridge Circle
Riviera Beach, FL 33404 - Phone
- (561) 567-0918
- Fax
- (561) 567-0928
- NPI assigned
- Jul 20, 2017
- Last updated
- Jul 20, 2017
- Organization subpart
- Yes
- Parent organization
- COMMUNITY DEVELOPMENT AND EMPOWERMENT GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Merris A. Smith, RN, MSN, PHD CANDIDA
- Title
- Ceo/Chief Nursing Executive
- Phone
- (561) 685-1154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN9242701 | FL | Primary |
Addresses
Primary practice location
3148 Laurel Ridge Circle
Riviera Beach, FL 33404
Mailing address
P.O. Box 210041
Royal Palm Beach, FL 33421
Phone (561) 685-1154
Other names 1
- Forward Innovative Home Health Care, Inc.
National Provider Directory
National Provider Directory- Part of
- Community Development and Empowerment Group Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500508800000",
"number": "1205359320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 210041",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "33421",
"telephone_number": "561-685-1154",
"fax_number": "561-567-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 LAUREL RIDGE CIRCLE",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "33404",
"telephone_number": "561-567-0918",
"fax_number": "561-567-0928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY DEVELOPMENT AND EMPOWERMENT GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY DEVELOPMENT AND EMPOWERMENT GROUP, INC.",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MERRIS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO/CHIEF NURSING EXECUTIVE",
"authorized_official_telephone_number": "561-685-1154",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, MSN, PHD CANDIDA"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN9242701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forward Innovative Home Health Care, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.