Organization Active NPI

Balm of Gilead Home Health

  • Home Health Agency
  • Winter Haven, FL
National Provider Identifier
1417559733
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BALM OF GILEAD HOME HEALTH
Practice address
505 Avenue a NW # W
Winter Haven, FL 33881-4650
Phone
(813) 428-4300
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Mr. Olubode Olatunji
Title
President
Phone
(813) 428-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

505 Avenue a NW # W
Winter Haven, FL 33881-4650

Mailing address

6611 US Highway 19 Ste 207
New Port Richey, FL 34652-1732
Phone (813) 428-4300

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2208780Balm of Gilead Home Health LLC505 Avenue a NW Suite 305, Winter Haven, FL 33881Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

6611 US Highway 19
Ste 207
New Port Richey, FL 34652
Phone (727) 807-6942

505 Avenue A NW
Winter Haven, FL 33881
Phone (813) 428-4300

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1417559733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 US HIGHWAY 19 STE 207",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521732",
            "telephone_number": "813-428-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 AVENUE A NW # W",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814650",
            "telephone_number": "813-428-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALM OF GILEAD HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "OLATUNJI",
        "authorized_official_first_name": "OLUBODE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-428-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.