Organization Active NPI

Flagler Beach Homecare

  • Home Health Agency
  • Flagler Beach, FL
National Provider Identifier
1447611801
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PN5181900 Issued in FL
Legal business name
FLAGLER BEACH HOMECARE
Practice address
1222 S Central Ave
Flagler Beach, FL 32136-3721
Phone
(386) 338-2072
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Gena S Snead, NURSE
Title
President
Phone
(386) 338-2072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PN5181900 FL Primary
Nursing Care Agency 251J00000X PN5181900 FL

Addresses

Primary practice location

1222 S Central Ave
Flagler Beach, FL 32136-3721

Mailing address

1222 S Central Ave
Flagler Beach, FL 32136-3721
Phone (386) 338-2072

Other names 1

  • Genesis MC Other name

National Provider Directory

National Provider Directory
Tax ID family
Flagler Beach Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1447611801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S CENTRAL AVE",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363721",
            "telephone_number": "386-338-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S CENTRAL AVE",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363721",
            "telephone_number": "386-338-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER BEACH HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "SNEAD",
        "authorized_official_first_name": "GENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-338-2072",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "PN5181900",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "PN5181900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis MC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flagler Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.