Organization 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
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 10, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2318098Accessible Home Health Care of West Palm Beach621 NW 53Rd Street Suite 125, Office 18, Boca Raton, FL 33487Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.