Brevard Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BREVARD HOME CARE LLC

Doing business as

Griswold Homecare

Practice address

1600 Sarno Rd
Suite # 119J
Melbourne, FL 32935-4938

Phone

(321) 948-8555

NPI assigned

May 6, 2013

Last updated

May 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Venkat Puskur

Title

Owner

Phone

(321) 948-8555

Specialties & licenses 1

Addresses

Other names 1

• GRISWOLD HOMECARE Doing business as

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1316382385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 TALON WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329343257",
            "telephone_number": "321-948-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD",
            "address_2": "SUITE # 119J",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354938",
            "telephone_number": "321-948-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "PUSKUR",
        "authorized_official_first_name": "VENKAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-948-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRISWOLD HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.