Active NPI
Joel Robert Fallon
- Home Health Aide
- Palm Coast, FL
National Provider Identifier
1255757696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 30211046
- Practice address
- 9 Harbor Center Dr
Suite 16
Palm Coast, FL 32137-8268 - Phone
- (386) 447-6551
- NPI assigned
- Mar 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 30211046 | FL | Primary |
Addresses
Primary practice location
9 Harbor Center Dr
Suite 16
Palm Coast, FL 32137-8268
Mailing address
9 Harbor Center Dr
Suite 16
Palm Coast, FL 32137-8268
Phone (386) 447-6551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30211046 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1255757696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HARBOR CENTER DR",
"address_2": "SUITE 16",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378268",
"telephone_number": "386-447-6551",
"fax_number": "386-447-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HARBOR CENTER DR",
"address_2": "SUITE 16",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378268",
"telephone_number": "386-447-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "JOEL",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-10",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "30211046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.