Organization Active NPI

A Successful Journey, LLC

  • Home Health Agency
  • Hollywood, FL
National Provider Identifier
1336894757
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A SUCCESSFUL JOURNEY, LLC
Practice address
3500 Washington St Apt 408
Hollywood, FL 33021-8276
Phone
(954) 260-6102
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Mr. Harold J Floyd II
Title
Director of Finance
Phone
(786) 222-2980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3500 Washington St Apt 408
Hollywood, FL 33021-8276

Mailing address

3500 Washington St Apt 408
Hollywood, FL 33021-8276
Phone (954) 260-6102

Other identifiers 1

IdentifierTypeStateIssuer
104153700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1336894757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WASHINGTON ST APT 408",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218276",
            "telephone_number": "954-260-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WASHINGTON ST APT 408",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218276",
            "telephone_number": "954-260-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SUCCESSFUL JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "786-222-2980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104153700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.