Active NPI
Shan Group 4 LLC
Doing business as Accessible Home Health Care of West Palm Beach
- Home Health Agency
- Boca Raton, FL
National Provider Identifier
1356156186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SHAN GROUP 4 LLC
- Doing business as
- Accessible Home Health Care of West Palm Beach
- Practice address
- 621 NW 53Rd St 125
Office18
Boca Raton, FL 33487-8235 - Phone
- (561) 677-3133
- Fax
- (561) 879-4025
- NPI assigned
- Feb 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Mandsourwala
- Title
- Ceo
- Phone
- (561) 677-3133
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
621 NW 53Rd St 125
Office18
Boca Raton, FL 33487-8235
Mailing address
15251 NE 18TH Ave Ste 9
North Miami Beach, FL 33162-6039
Phone (305) 627-3103
Other names 1
- Accessible Home Health Care of West Palm Beach
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2318098 | Accessible Home Health Care of West Palm Beach | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
15251 NE 18th Ave
Ste 9
North Miami Beach, FL 33162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1356156186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15251 NE 18TH AVE STE 9",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331626039",
"telephone_number": "305-627-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 NW 53RD ST 125",
"address_2": "OFFICE18",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334878235",
"telephone_number": "561-677-3133",
"fax_number": "561-879-4025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAN GROUP 4 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "MANDSOURWALA",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-677-3133"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Accessible Home Health Care of West Palm Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
- Sejal Shah, D.O.
- Shahriar Hoghooghi DMD, PA (Dental Associates of Boca Greens)
- Julie Ann Shaikh, PHD, LCSW
- Oshetha Shakoor-Rivera
- Shimshon Shamoil, MD
- Kirvin Dough Shand, MASSAGE THERAPISTS
- Shannon's Social Work Services, LLC
- Shaping Skills Academy Inc
- Jonathan Shapir, M.D.
- Hilary Michele Shapiro-Wright, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.