Organization Active NPI

Experienced Care Inc. Home Health

  • Home Health Agency
  • Ocala, FL
National Provider Identifier
1255456984
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991026 Issued in FL
Legal business name
EXPERIENCED CARE INC. HOME HEALTH
Practice address
1313 E Silver Springs Blvd
Ocala, FL 34470-6821
Phone
(352) 479-0120
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Mrs. Delicia Lucia De Jimenez
Title
RN Administrator
Phone
(352) 401-1844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991026 FL Primary

Addresses

Primary practice location

1313 E Silver Springs Blvd
Ocala, FL 34470-6821

Mailing address

1313 E Silver Springs Blvd
Ocala, FL 34470-6821
Phone (352) 479-0120

Other identifiers 2

IdentifierTypeStateIssuer
689691079MedicaidFL
689691000MedicaidFL

National Provider Directory

National Provider Directory

Locations

1313 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 479-0120

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1255456984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706821",
            "telephone_number": "352-479-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706821",
            "telephone_number": "352-479-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCED CARE INC. HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "DE JIMENEZ",
        "authorized_official_first_name": "DELICIA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "352-401-1844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689691079",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689691000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.