Active NPI
Private Care Inc
- Home Health Agency
- West Palm Beach, FL
National Provider Identifier
1215087838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA20963095
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02875796 | Medicaid | FL | |
| H5T | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.