Organization Active NPI

At Home Concierge Care LLC

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1437937877
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
AT HOME CONCIERGE CARE LLC
Practice address
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone
(561) 288-8218
Fax
(561) 288-8249
NPI assigned
Sep 18, 2023
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Mia Abraham, APRNNPI 1497209126
Title
Owner
Phone
(561) 288-8218

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
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

800 Meadows Rd
Boca Raton, FL 33486-2304

Mailing address

170 NE 2ND St Unit 1933
Boca Raton, FL 33429-5086
Phone (561) 288-8218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020002979 FL Part B Supplier - Clinic/Group Practice 3476909805 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

170 NE 2nd St
Unit 1933
Boca Raton, FL 33429

Practitioners & affiliated clinicians

Practitioners 3

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1437937877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NE 2ND ST UNIT 1933",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334295086",
            "telephone_number": "561-288-8218",
            "fax_number": "561-288-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-288-8218",
            "fax_number": "561-288-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CONCIERGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-288-8218",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.