At Home Woundcare Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME122443 Issued in FL

Legal business name

AT HOME WOUNDCARE INC

Practice address

1500 Weston Rd Ste 200
Weston, FL 33326-3264

Phone

(347) 563-6066

NPI assigned

Feb 7, 2017

Last updated

Feb 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alonzo Grant III, M.D.NPI 1730417023

Title

President

Phone

(213) 793-6545

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alonzo L Grant III, MD

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1730417023
  Medicare reassignment NPD Authorized official
• Carol Christine Johnson, FNP-BC

  • Family Nurse Practitioner
  • Hollywood, FL
  • NPI 1538501978
  Medicare reassignment NPD
• William David Lucky Sr., MD

  • Specialist
  • Homestead, FL
  • NPI 1538168075
  Medicare reassignment NPD
• Melissa Marballie, FNP

  • Family Nurse Practitioner
  • Weston, FL
  • NPI 1881863363
  Medicare reassignment NPD

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1205374493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WESTON RD STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263264",
            "telephone_number": "347-563-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WESTON RD STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263264",
            "telephone_number": "347-563-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME WOUNDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-793-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME122443",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Gradvohl Assis, ARNP, FNP
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• Enoris Atencio-Quesada, ACUPUNCTURIST
• Michael Blake Atlas
• Fabiola Audibert
• Anida Auguste Isma, OTR/L
• Brittany Augustin, OTR

• Specialist in Weston, FL
• Providers in Weston, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.