Organization Active NPI

K C Home Health II LLC

  • Home Health Agency
  • South Pasadena, FL
National Provider Identifier
1225623937
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
K C HOME HEALTH II LLC
Practice address
1813 Shore Dr S Ste 5
South Pasadena, FL 33707-4701
Phone
(813) 525-3878
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Bernard O Spooner, RN
Title
Nurse Consultant
Phone
(813) 992-7867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1813 Shore Dr S Ste 5
South Pasadena, FL 33707-4701

Mailing address

1813 Shore Dr S Ste 5
South Pasadena, FL 33707-4701
Phone (813) 525-3878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1225623937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 SHORE DR S STE 5",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074701",
            "telephone_number": "813-525-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 SHORE DR S STE 5",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074701",
            "telephone_number": "813-525-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K C HOME HEALTH II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NURSE CONSULTANT",
        "authorized_official_telephone_number": "813-992-7867",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.