Organization Active NPI

Distinctive Home Care of Palm Beach, LLC

  • Adult Care Home Facility
  • North Palm Beach, FL
National Provider Identifier
1487980777
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
30211391 Issued in FL
Legal business name
DISTINCTIVE HOME CARE OF PALM BEACH, LLC
Practice address
533 Northlake Blvd
Suite 4
North Palm Beach, FL 33408-5420
Phone
(954) 727-9142
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Sharon Huggins
Title
Administrator
Phone
(954) 727-9142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 30211391 FL Primary

Addresses

Primary practice location

533 Northlake Blvd
Suite 4
North Palm Beach, FL 33408-5420

Mailing address

533 Northlake Blvd
Suite 4
North Palm Beach, FL 33408-5420
Phone (954) 727-9142

National Provider Directory

National Provider Directory

Locations

533 Northlake Blvd
Ste 4
North Palm Beach, FL 33408
Phone (954) 727-9142

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1487980777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 NORTHLAKE BLVD",
            "address_2": "SUITE 4",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085420",
            "telephone_number": "954-727-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 NORTHLAKE BLVD",
            "address_2": "SUITE 4",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085420",
            "telephone_number": "954-727-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE HOME CARE OF PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-727-9142"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "30211391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.