NPIMap

Organization Active NPI

DCR Home Health, LLC

  • Physical Therapist
  • Palm Bay, FL
National Provider Identifier
1215418793
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22170 Issued in FL
Legal business name
DCR HOME HEALTH, LLC
Practice address
430 Plant Ave NE
Palm Bay, FL 32907-2365
Phone
(321) 482-4982
NPI assigned
Aug 23, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Mr. David Randall, MPTNPI 1952842742
Title
Owner/Operator
Phone
(321) 432-3345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT22170 FL Primary

Addresses

Primary practice location

430 Plant Ave NE
Palm Bay, FL 32907-2365

Mailing address

430 Plant Ave NE
Palm Bay, FL 32907-2365
Phone (321) 482-4982

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1215418793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PLANT AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072365",
            "telephone_number": "321-482-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PLANT AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072365",
            "telephone_number": "321-482-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCR HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "321-432-3345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.