Restore Health Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

30211794 Issued in FL

Legal business name

RESTORE HEALTH SERVICES, INC

Practice address

927 E Alfred St
Tavares, FL 32778-3401

Phone

(352) 508-5915

Fax

(352) 508-5916

NPI assigned

Aug 7, 2013

Last updated

Jun 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Merritt

Title

Administrator

Phone

(352) 508-5915

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Restore Care Services2 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.

• Restore Health Services Inc

  dba Restore Care Services

  • In Home Supportive Care Agency
  • Mount Dora, FL
  • NPI 1245761253
  NPD tax ID

Locations

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.

• Jennifer Merritt Hayes, MS

  • Clinical Social Worker
  • Tavares, FL
  • NPI 1740626316
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1447682943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783401",
            "telephone_number": "352-508-5915",
            "fax_number": "352-508-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783401",
            "telephone_number": "352-508-5915",
            "fax_number": "352-508-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-508-5915"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008882200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010415400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viraj Reddy
• Akara Reid
• Charles William Reinertsen, DMD
• Renal Treatment Centers-Southeast LP (Mt. Dora Dialysis)
• Rest Assured Anesthesia
• Carine B Richard, CNM
• Rise Home Support Services LLC
• Joseph A Risko, DO
• Alba Damaris Rivera-Diaz, MD, LND
• RK Medical PA

• In Home Supportive Care Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.