NPIMap

Organization Active NPI

Caresouth HHA Holdings of Largo, LLC

  • Home Health Agency
  • Largo, FL
National Provider Identifier
1407809643
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARESOUTH HHA HOLDINGS OF LARGO, LLC
Practice address
7381 114TH Avenue North, Suite 403-B
Largo, FL 33773-5105
Phone
(727) 489-0175
Fax
(727) 489-0178
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mr. Rick W Griffin
Title
Pres/Ceo
Phone
(706) 855-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7381 114TH Avenue North, Suite 403-B
Largo, FL 33773-5105

Mailing address

PO Box 200
Augusta, GA 30903-0200
Phone (706) 855-5533

Other identifiers 1

IdentifierTypeStateIssuer
10-7709OtherFLMEDICARE PROVIDER

Other names 1

  • CareSouth Homecare Professionals Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1407809643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030200",
            "telephone_number": "706-855-5533",
            "fax_number": "706-854-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 114TH AVENUE NORTH, SUITE 403-B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735105",
            "telephone_number": "727-489-0175",
            "fax_number": "727-489-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HHA HOLDINGS OF LARGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "706-855-5533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "10-7709",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSouth Homecare Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.