Organization Active NPI

Manila Homecare

  • Foster Care Agency
  • Largo, FL
National Provider Identifier
1417024472
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
37193FC Issued in FL
Legal business name
MANILA HOMECARE
Practice address
613 5TH Ave SE
Largo, FL 33771
Phone
(727) 667-4958
Fax
(727) 581-7351
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Jeanne S Newcomb
Title
Provider
Phone
(727) 667-4958

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 229837 FL
Foster Care Agency 253J00000X 37193FC FL Primary

Addresses

Primary practice location

613 5TH Ave SE
Largo, FL 33771

Mailing address

613 5TH Ave SE
Largo, FL 33771
Phone (727) 667-4958

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherFLSOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1417024472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 5TH AVE SE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33771",
            "telephone_number": "727-667-4958",
            "fax_number": "727-581-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 5TH AVE SE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33771",
            "telephone_number": "727-667-4958",
            "fax_number": "727-581-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANILA HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "727-667-4958",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "229837",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "FL",
            "license": "37193FC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 21, 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.