Active NPI
Family Caregivers of Florida LLC
- Home Health Agency
- Pace, FL
National Provider Identifier
1306484704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAMILY CAREGIVERS OF FLORIDA LLC
- Practice address
- 4000 Highway 90 Ste a
Pace, FL 32571-1909 - Phone
- (850) 994-0877
- Fax
- (850) 994-0876
- NPI assigned
- Dec 16, 2019
- 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
- Patrice L Ashford
- Title
- Owner
- Phone
- (850) 994-0877
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
4000 Highway 90 Ste a
Pace, FL 32571-1909
Mailing address
4000 Highway 90 Ste a
Pace, FL 32571-1909
Phone (850) 994-0877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105228600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4000 Highway 90
Ste A
Pace, FL 32571
Phone (850) 994-0877
4000 Highway 90
Ste H
Pace, FL 32571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620864000000",
"number": "1306484704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 HIGHWAY 90 STE A",
"city": "PACE",
"state": "FL",
"postal_code": "325711909",
"telephone_number": "850-994-0877",
"fax_number": "850-994-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HIGHWAY 90 STE A",
"city": "PACE",
"state": "FL",
"postal_code": "325711909",
"telephone_number": "850-994-0877",
"fax_number": "850-994-0876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CAREGIVERS OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-16",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A",
"authorized_official_last_name": "ASHFORD",
"authorized_official_first_name": "PATRICE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-994-0877"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105228600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.