Active NPI
Balm of Gilead Home Health
- Home Health Agency
- Winter Haven, FL
National Provider Identifier
1417559733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2208780 | Balm of Gilead Home Health LLC | Certificate of waiver | Jan 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.