Organization Active NPI

Flos Passionate Company Home Health Care LLC

  • Home Health Clinical Nurse Specialist
  • Lake Wales, FL
National Provider Identifier
1205617867
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
Legal business name
FLOS PASSIONATE COMPANY HOME HEALTH CARE LLC
Practice address
108 E Seminole Ave
Lake Wales, FL 33853-3627
Phone
(863) 605-5129
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Floria Peterson
Title
Administrator
Phone
(860) 605-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH0200X Primary

Addresses

Primary practice location

108 E Seminole Ave
Lake Wales, FL 33853-3627

Mailing address

PO Box 130
Lake Wales, FL 33859-0130
Phone (860) 605-5129

National Provider Directory

National Provider Directory

Locations

108 E Seminole Ave
Lake Wales, FL 33853
Phone (863) 605-5129

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1205617867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338590130",
            "telephone_number": "860-605-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E SEMINOLE AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533627",
            "telephone_number": "863-605-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOS PASSIONATE COMPANY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "FLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-605-5129"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.