NPIMap

Organization Active NPI

Medical Home Care Program

  • Durable Medical Equipment & Medical Supplies
  • Lake Worth, FL
National Provider Identifier
1366451361
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL HOME CARE PROGRAM
Practice address
617 N Dixie Hwy
Lake Worth, FL 33460-3041
Phone
(561) 582-1122
Fax
(561) 582-5211
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Medell, M.B.A.
Title
President
Phone
(561) 581-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

617 N Dixie Hwy
Lake Worth, FL 33460-3041

Mailing address

617 N Dixie Hwy
Lake Worth, FL 33460-3041
Phone (561) 582-1122

National Provider Directory

National Provider Directory
Tax ID family
Medical Home Care Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

617 N Dixie Hwy
Lake Worth, FL 33460
Phone (561) 582-1122

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366451361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603041",
            "telephone_number": "561-582-1122",
            "fax_number": "561-582-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603041",
            "telephone_number": "561-582-1122",
            "fax_number": "561-582-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOME CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-581-1122",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.