Active NPI
Southern Home Health at KWCC Inc
- Physical Disabilities Residential Treatment Facility
- Key West, FL
National Provider Identifier
1245379882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- Legal business name
- SOUTHERN HOME HEALTH AT KWCC INC
- Practice address
- 5860 College Rd
Key West, FL 33040-4314 - Phone
- (305) 296-2450
- Fax
- (305) 296-9197
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Roberta A Caron
- Title
- Corporate Billing Director
- Phone
- (561) 333-1372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | FL | Primary |
Addresses
Primary practice location
5860 College Rd
Key West, FL 33040-4314
Mailing address
5860 College Rd
Key West, FL 33040-4314
Phone (305) 296-2450
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245379882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5860 COLLEGE RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404314",
"telephone_number": "305-296-2450",
"fax_number": "305-296-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 COLLEGE RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404314",
"telephone_number": "305-296-2450",
"fax_number": "305-296-9197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN HOME HEALTH AT KWCC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARON",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CORPORATE BILLING DIRECTOR",
"authorized_official_telephone_number": "561-333-1372",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.