Hadassah Home Care LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

HADASSAH HOME CARE LLC

Practice address

124 E Miracle Strip Pkwy
Mary Esther, FL 32569-1988

Phone

(850) 601-9710

Fax

(850) 710-9745

NPI assigned

Dec 12, 2022

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leah OwensNPI 1104597244

Title

Administrator

Phone

(850) 582-6717

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Antoinette Owens, MS, CCM

  • Home Health Aide
  • Fort Walton Beach, FL
  • NPI 1104597244
  NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1265143192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 POULTON DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484500",
            "telephone_number": "850-601-9710",
            "fax_number": "850-710-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MIRACLE STRIP PKWY",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691988",
            "telephone_number": "850-601-9710",
            "fax_number": "850-710-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADASSAH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-582-6717"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115725300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Gibson
• Carlie Giordano
• Mykeria Latrece Greer
• Scott A Groat, DPM
• Madeline C Guarino, LCSW
• Ashley Rydzewski Hall, PHARMD
• Anna Dupre Harbour, PTA
• Hazel Marie Harper, LMHC
• Julie Harper, PSY-D
• Timeka Hayes, LMHC

• Attendant Care Provider in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.