Collier Health Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLLIER HEALTH HOME CARE AGENCY LLC

Practice address

4997 Tamiami TRL E
Naples, FL 34113-4131

Phone

(954) 548-6714

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Ursule Thamara Tanis

Title

Vice President/Administrator

Phone

(239) 601-7326

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1306571328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4997 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341134131",
            "telephone_number": "954-548-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4997 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341134131",
            "telephone_number": "954-548-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER HEALTH HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "URSULE",
        "authorized_official_middle_name": "THAMARA",
        "authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "239-601-7326"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Naples, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.