Organization Active NPI

FDG Home Health Agency, Inc.

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1487810339
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993393 Issued in FL
Legal business name
FDG HOME HEALTH AGENCY, INC.
Practice address
7855 NW 12TH St Ste 210
Doral, FL 33126-1819
Phone
(305) 279-0602
Fax
(305) 279-0603
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Veronica Pulley Lorenzo
Title
President
Phone
(786) 246-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993393 FL Primary

Addresses

Primary practice location

7855 NW 12TH St Ste 210
Doral, FL 33126-1819

Mailing address

7855 NW 12TH St Ste 210
Doral, FL 33126-1819
Phone (305) 279-0602

National Provider Directory

National Provider Directory

Locations

7855 NW 12th St
Ste 210
Doral, FL 33126
Phone (305) 279-0602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1487810339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 210",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261819",
            "telephone_number": "305-279-0602",
            "fax_number": "305-279-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 210",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261819",
            "telephone_number": "305-279-0602",
            "fax_number": "305-279-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDG HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "PULLEY LORENZO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-246-1885"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.