Organization Active NPI

Winner Healthcare LLC

  • In Home Supportive Care Agency
  • Flagler Beach, FL
National Provider Identifier
1356063598
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WINNER HEALTHCARE LLC
Practice address
712 S Ocean Shore Blvd
Flagler Beach, FL 32136-3602
Phone
(386) 871-1975
Fax
(386) 800-2929
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Tara Winner
Title
President / Owner
Phone
(386) 681-8193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

712 S Ocean Shore Blvd
Flagler Beach, FL 32136-3602

Mailing address

712 S Ocean Shore Blvd
Flagler Beach, FL 32136-3602
Phone (386) 871-1975

Other identifiers 2

IdentifierTypeStateIssuer
119132700MedicaidFL
FL197OtherFLN/A

Other names 1

  • HomeWell Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

712 S Ocean Shore Blvd
Flagler Beach, FL 32136
Phone (386) 227-6485

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1356063598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S OCEAN SHORE BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363602",
            "telephone_number": "386-871-1975",
            "fax_number": "386-800-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S OCEAN SHORE BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363602",
            "telephone_number": "386-871-1975",
            "fax_number": "386-800-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-03-18",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "WINNER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "386-681-8193"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119132700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "FL197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HomeWell Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagler Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.