Organization Active NPI

Home Diagnostics on Wheels

  • Health Service Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1295325488
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HOME DIAGNOSTICS ON WHEELS
Practice address
1030 Summit Place Cir # 05082017
West Palm Beach, FL 33415-4700
Phone
(561) 254-3658
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Francena Hicks
Title
Manager
Phone
(561) 254-3658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1030 Summit Place Cir # 05082017
West Palm Beach, FL 33415-4700

Mailing address

1030 Summit Place Circle, C
C
West Palm Beach, FL 33415
Phone (561) 254-3658

Other names 1

  • Home Diagnostics On Wheels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1295325488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SUMMIT PLACE CIRCLE, C",
            "address_2": "C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33415",
            "telephone_number": "561-254-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SUMMIT PLACE CIR # 05082017",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334154700",
            "telephone_number": "561-254-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DIAGNOSTICS ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "FRANCENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-254-3658"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Diagnostics On Wheels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.