Organization Active NPI

Modern Home Health, LLC

  • Home Health Agency
  • Cocoa Beach, FL
National Provider Identifier
1487310744
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MODERN HOME HEALTH, LLC
Practice address
117 N Orlando Ave
Cocoa Beach, FL 32931-2914
Phone
(305) 338-5141
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Stacyann Terrelonge
Title
Owner/President
Phone
(305) 338-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

117 N Orlando Ave
Cocoa Beach, FL 32931-2914

Mailing address

117 N Orlando Ave
Cocoa Beach, FL 32931-2914
Phone (305) 338-5141

National Provider Directory

National Provider Directory

Locations

117 N Orlando Ave
Cocoa Beach, FL 32931
Phone (305) 338-5141

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1487310744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N ORLANDO AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312914",
            "telephone_number": "305-338-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N ORLANDO AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312914",
            "telephone_number": "305-338-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "TERRELONGE",
        "authorized_official_first_name": "STACYANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-338-5141"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.