Organization Active NPI

Southern Home Health at KWCC Inc

  • Physical Disabilities Residential Treatment Facility
  • Key West, FL
National Provider Identifier
1245379882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.