Organization Active NPI

Private Care Inc

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1215087838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA20963095 Issued in FL
Legal business name
PRIVATE CARE INC
Practice address
580 Village Blvd Ste 270
West Palm Beach, FL 33409-1904
Phone
(561) 616-2715
Fax
(561) 684-2332
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Thamarva L Mitchell-Legette
Title
Billing Manager
Phone
(561) 616-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA20963095 FL Primary

Addresses

Primary practice location

580 Village Blvd Ste 270
West Palm Beach, FL 33409-1904

Mailing address

580 Village Blvd Ste 270
West Palm Beach, FL 33409-1904
Phone (561) 616-2715

Other identifiers 2

IdentifierTypeStateIssuer
02875796MedicaidFL
H5TOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

580 Village Blvd
Ste 270
West Palm Beach, FL 33409
Phone (561) 616-2715

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215087838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD STE 270",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-616-2715",
            "fax_number": "561-684-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD STE 270",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-616-2715",
            "fax_number": "561-684-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL-LEGETTE",
        "authorized_official_first_name": "THAMARVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-616-2715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA20963095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02875796",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H5T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.