Organization Active NPI

Ruby's Home Health Agency, Inc.

  • Home Health Agency
  • Plantation, FL
National Provider Identifier
1326297623
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21034096 Issued in FL
Legal business name
RUBY'S HOME HEALTH AGENCY, INC.
Practice address
4343 W Sunrise Blvd
Plantation, FL 33313-6749
Phone
(954) 584-1970
Fax
(954) 587-4240
NPI assigned
Sep 11, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mrs. Ruby Gem Edman
Title
Administrator
Phone
(954) 584-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21034096 FL Primary

Addresses

Primary practice location

4343 W Sunrise Blvd
Plantation, FL 33313-6749

Mailing address

4343 W Sunrise Blvd
Plantation, FL 33313-6749
Phone (954) 584-1970

Other identifiers 2

IdentifierTypeStateIssuer
21034096OtherFLPRIVATE HOME HEALTH AGENCY LICENSE #21034096
21034096OtherFLPRIVATE HOME HEALTH AGENCY LICENSE #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1326297623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136749",
            "telephone_number": "954-584-1970",
            "fax_number": "954-587-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136749",
            "telephone_number": "954-584-1970",
            "fax_number": "954-587-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY'S HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "EDMAN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "GEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-584-1970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21034096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME HEALTH AGENCY LICENSE #21034096",
            "identifier": "21034096",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME HEALTH AGENCY LICENSE #",
            "identifier": "21034096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.