Althea Pontoon
Individual provider Active NPI In Home Supportive Care Agency · Hawthorne, FL
NPI 1306303169 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1306303169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 269536 (FL)
- Practice address
- 144 Prairie Drive
Hawthorne, FL 32640 - Phone
- (352) 481-3331
- Fax
- (352) 481-5249
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269536 | FL | MD | In Home Supportive Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 269536 | FL | Yes |
Addresses
Primary practice location
144 Prairie Drive
Hawthorne, FL 32640
Mailing address
144 Prairie Drive
Hawthorne, FL 32640
Phone (352) 481-3331
Other providers in Hawthorne, FL
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- Open Arms Medical Center at
- Gary Richard Parker
- Susan Perko
- Patricia Ann Powers
- Alyssa Henry Proffitt
- Greta Marie Degen Pursley
- Rely on Homecare LLC
- Crista Marina Ana Lucia Rosborough
All providers in Hawthorne, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.