Organization Active NPI

Merrick Nurse Registry LLC

  • Home Health Agency
  • Lake Worth, FL
National Provider Identifier
1376090456
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211870 Issued in FL
Legal business name
MERRICK NURSE REGISTRY LLC
Practice address
8461 Lake Worth Rd Ste 1-147
Lake Worth, FL 33467-2474
Phone
(561) 713-1123
NPI assigned
Sep 6, 2016
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Mrs. Phyllis Khan
Title
President
Phone
(561) 713-1123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211870 FL Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

8461 Lake Worth Rd Ste 1-147
Lake Worth, FL 33467-2474

Mailing address

8461 Lake Worth Rd Ste 1-147
Lake Worth, FL 33467-2474
Phone (561) 713-1123

National Provider Directory

National Provider Directory
Tax ID family
Merrick Nurse Registry LLC2 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

8461 Lake Worth Rd
Ste 1133
Lake Worth, FL 33467

8461 Lake Worth Rd
Ste 1147
Lake Worth, FL 33467
Phone (561) 713-1123

8461 Lake Worth Rd
Ste 1240
Lake Worth, FL 33467

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1376090456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 LAKE WORTH RD STE 1-147",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672474",
            "telephone_number": "561-713-1123",
            "fax_number": "561-713-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 LAKE WORTH RD STE 1-147",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672474",
            "telephone_number": "561-713-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK NURSE REGISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-713-1123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211870",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 25, 2025; 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.