Suretycare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SURETYCARE, INC.

Practice address

15223 Teresa Blvd
Hudson, FL 34669-1265

Phone

(727) 869-9782

Fax

(727) 869-9782

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Eduardo Valido

Title

Vice-President

Phone

(727) 869-9782

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Karen Valido Former legal business name

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1477786507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15223 TERESA BLVD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346691265",
            "telephone_number": "727-869-9782",
            "fax_number": "727-869-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 TERESA BLVD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346691265",
            "telephone_number": "727-869-9782",
            "fax_number": "727-869-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURETYCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "VALIDO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "727-869-9782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROVIDER",
            "identifier": "684334496",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROVIDER",
            "identifier": "684334498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Valido",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.