Organization Active NPI

Family Caregivers of Florida LLC

  • Home Health Agency
  • Pace, FL
National Provider Identifier
1306484704
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 13, 2021

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
105228600MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.