Procare Senior Homehealth LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROCARE SENIOR HOMEHEALTH LLC

Practice address

12555 Orange Dr Ste 275
Davie, FL 33330-4304

Phone

(954) 862-1409

Fax

(954) 337-3135

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Mary Ann Knee, RN

Title

Consultant

Phone

(954) 253-9093

Specialties & licenses 1

Addresses

Other names 1

• Procare Senior Homehealth LLC Other name

Locations

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1235914383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR STE 275",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "954-862-1409",
            "fax_number": "954-337-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR STE 275",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "954-862-1409",
            "fax_number": "954-337-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE SENIOR HOMEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "KNEE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "954-253-9093",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procare Senior Homehealth LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Procare Senior Homehealth LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Davie, FL
• Providers in Davie, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.