Active NPI
Falcon Healthcare Agency LLC
- In Home Supportive Care Agency
- Fort Lauderdale, FL
National Provider Identifier
1275267437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FALCON HEALTHCARE AGENCY LLC
- Practice address
- 2901 NW 62ND St Ste 105a
Fort Lauderdale, FL 33309-1730 - Phone
- (954) 477-4591
- Fax
- (954) 477-4592
- NPI assigned
- Jul 13, 2022
- Last updated
- Sep 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Phalonne Burin, RN
- Title
- Administrator
- Phone
- (954) 477-4591
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
2901 NW 62ND St Ste 105a
Fort Lauderdale, FL 33309-1730
Mailing address
2901 NW 62ND St Ste 105a
Fort Lauderdale, FL 33309-1730
Phone (954) 477-4591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30212266 | Other | FL | AHCA LICENSE NURSE REGISTRY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | heis | Health Information Exchange (HIE) |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2339299 | Falcon Healthcare Agency, LLC | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
2901 NW 62nd St
Ste 105A
Fort Lauderdale, FL 33309
Phone (954) 477-4591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693526400000",
"number": "1275267437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 NW 62ND ST STE 105A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091730",
"telephone_number": "954-477-4591",
"fax_number": "954-477-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 NW 62ND ST STE 105A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091730",
"telephone_number": "954-477-4591",
"fax_number": "954-477-4592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALCON HEALTHCARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A",
"authorized_official_last_name": "BURIN",
"authorized_official_first_name": "PHALONNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-477-4591",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA LICENSE NURSE REGISTRY",
"identifier": "30212266",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "heis",
"affiliation": "N",
"endpointDescription": "cloud",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2901 NW 62nd St Ste 105A",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333091730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.