NPIMap

Organization Active NPI

Florida West Home Care, Inc.

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1316250152
Registry record updated Sep 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NR30211209 Issued in FL
Legal business name
FLORIDA WEST HOME CARE, INC.
Practice address
6973 Hancock Dr
Port St Lucie, FL 34952-8207
Phone
(772) 465-7780
Fax
(772) 465-7783
NPI assigned
Jul 21, 2010
Last updated
Sep 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2011

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

Authorized official

Name
Mary Ann D Plotria
Title
President/Ceo
Phone
(772) 465-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NR30211209 FL Primary

Addresses

Primary practice location

6973 Hancock Dr
Port St Lucie, FL 34952-8207

Mailing address

6973 Hancock Dr
Port St Lucie, FL 34952-8207
Phone (772) 465-7780

Other identifiers 3

IdentifierTypeStateIssuer
688636101OtherFLMEDICAID WAIVER
688636100OtherFLMEDICAID WAIVER
30211209OtherFLNURSE REGISTRY

National Provider Directory

National Provider Directory
Tax ID family
Florida West Home Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6973 Hancock Dr
Port St Lucie, FL 34952
Phone (772) 465-7780

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315699200000",
    "number": "1316250152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 HANCOCK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528207",
            "telephone_number": "772-465-7780",
            "fax_number": "772-465-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6973 HANCOCK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528207",
            "telephone_number": "772-465-7780",
            "fax_number": "772-465-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WEST HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2011-09-11",
        "status": "A",
        "authorized_official_last_name": "PLOTRIA",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "772-465-7780"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "NR30211209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "688636101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "688636100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTRY",
            "identifier": "30211209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; 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.