Organization Active NPI

Black Lab, Inc.

  • Home Health Agency
  • Palm Harbor, FL
National Provider Identifier
1235387176
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211281 Issued in FL
Legal business name
BLACK LAB, INC.
Practice address
922 Florida Ave
Palm Harbor, FL 34683-4223
Phone
(727) 787-3033
Fax
(787) 789-5085
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Mrs. Beverly R Napoli
Title
Owner/Administrator
Phone
(727) 787-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211281 FL Primary

Addresses

Primary practice location

922 Florida Ave
Palm Harbor, FL 34683-4223

Mailing address

PO Box 2337
Palm Harbor, FL 34682-2337
Phone (727) 787-3033

Other names 1

  • Living Assistance, Visiting Angels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1235387176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346822337",
            "telephone_number": "727-787-3033",
            "fax_number": "727-789-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 FLORIDA AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346834223",
            "telephone_number": "727-787-3033",
            "fax_number": "787-789-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "NAPOLI",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "727-787-3033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Assistance, Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.