Organization Active NPI

Falcon Healthcare Agency LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
National Provider Identifier
1275267437
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30212266OtherFLAHCA LICENSE NURSE REGISTRY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL heis Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2339299Falcon Healthcare Agency, LLC2901 NW 62ND Street, Fort Lauderdale, FL 33309Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.