Tradition Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRADITION HOME CARE, LLC

Practice address

240 NW Peacock Blvd Ste 304a
Port St Lucie, FL 34986-2274

Phone

(772) 462-6707

Fax

(772) 462-6706

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Kerri C Johnson

Title

President

Phone

(772) 462-6707

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1316679566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW PEACOCK BLVD STE 304A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862274",
            "telephone_number": "772-462-6707",
            "fax_number": "772-462-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NW PEACOCK BLVD STE 304A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862274",
            "telephone_number": "772-462-6707",
            "fax_number": "772-462-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITION HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-462-6707"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Matthew Townsley, D.C.
• Sheena Tracey
• Tradition Dental, P.a. (Tradition Dental Group)
• Tradition Family Chiropractic
• Tradition Health and Wellness Clinic PLLC (Blue Skies Health & Wellness Clinic)
• Tradition Surgery Center, LLC
• Trainor Pediatric Speech and Language Therapy Inc
• Adrienne Trainor
• Lisa Desha Trainor, PTA
• Phu Ngoc Tran, M.D.

• Home Health Agency in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.