Organization Active NPI

Entrust Home Healthcare

  • Case Manager/Care Coordinator
  • Stuart, FL
National Provider Identifier
1417501891
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ENTRUST HOME HEALTHCARE
Practice address
6535 SE Federal Hwy Apt 204
Stuart, FL 34997-8380
Phone
(772) 233-7632
NPI assigned
Jul 24, 2019
Last updated
Aug 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Helena MensahNPI 1043697626
Title
Owner/Director
Phone
(772) 233-7632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

6535 SE Federal Hwy Apt 204
Stuart, FL 34997-8380

Mailing address

6535 SE Federal Hwy Apt 204
Stuart, FL 34997-8380
Phone (772) 233-7632

Other practice location 1

1320 SE Federal Hwy Ste 202
Stuart, FL 34994-3409
Phone (772) 233-7632

Other identifiers 1

IdentifierTypeStateIssuer
016986700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL entrusthealth@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1417501891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 SE FEDERAL HWY APT 204",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978380",
            "telephone_number": "772-233-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 SE FEDERAL HWY APT 204",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978380",
            "telephone_number": "772-233-7632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 SE Federal Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349943409",
            "country_code": "US",
            "telephone_number": "772-233-7632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENTRUST HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "HELENA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "772-233-7632"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016986700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "entrusthealth@gmail.com",
            "affiliation": "N",
            "address_1": "6535 SE Federal Hwy Apt 204",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349978380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.