Individual provider Active NPI

Steve Richards

  • Home Health Aide
  • Boynton Beach, FL
National Provider Identifier
1366006926
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
63957 Issued in FL
Practice address
6955 Bitterbush PL
Boynton Beach, FL 33472-2901
Phone
(561) 542-9776
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6969014
Home Health Aide 374U00000X 63957 FL Primary

Addresses

Primary practice location

6955 Bitterbush PL
Boynton Beach, FL 33472-2901

Mailing address

6955 Bitterbush PL
Boynton Beach, FL 33472-2901
Phone (561) 542-9776

Other identifiers 1

IdentifierTypeStateIssuer
63957OtherFLDEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL solaceseniorliving@gmail.com
Other URL solaceseniorliving@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63957FLMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1366006926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 BITTERBUSH PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722901",
            "telephone_number": "561-542-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 BITTERBUSH PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722901",
            "telephone_number": "561-542-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "STEVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": "6969014",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "63957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "63957",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "solaceseniorliving@gmail.com",
            "affiliation": "N",
            "address_1": "6955 Bitterbush Pl",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334722901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "solaceseniorliving@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Healthcare",
            "address_1": "6955 Bitterbush Pl",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334722901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.