Prodigy Home Health

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRODIGY HOME HEALTH

Practice address

7601 Cobb LN
Pensacola, FL 32534-4264

Phone

(850) 475-1859

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Amuzu

Title

Administrator

Phone

(708) 267-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRODIGY HOMEMAKERS Doing business as

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1235373382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16945 GLEN OAKS DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782149",
            "telephone_number": "708-267-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 COBB LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325344264",
            "telephone_number": "850-475-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "AMUZU",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-267-0032",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690055196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRODIGY HOMEMAKERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.