Organization Active NPI

N/a

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1245652247
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RT11166 Issued in FL
Legal business name
N/A
Practice address
2261 S Sherman Cir
Apt. A204
Miramar, FL 33025-2294
Phone
(954) 243-0626
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Miss Marjorie Champagne
Title
Registered Respiratory Therapist
Phone
(954) 243-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RT11166 FL Primary

Addresses

Primary practice location

2261 S Sherman Cir
Apt. A204
Miramar, FL 33025-2294

Mailing address

2261 S Sherman Cir
Apt. A204
Miramar, FL 33025-2294
Phone (954) 243-0626

Other names 1

  • N/A 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": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1245652247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 S SHERMAN CIR",
            "address_2": "APT. A204",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252294",
            "telephone_number": "954-243-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 S SHERMAN CIR",
            "address_2": "APT. A204",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252294",
            "telephone_number": "954-243-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N/A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "REGISTERED RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "954-243-0626",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "RT11166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.