Organization Active NPI

Amity Home Care Services, LLC

  • In Home Supportive Care Agency
  • North Palm Beach, FL
National Provider Identifier
1497319867
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMITY HOME CARE SERVICES, LLC
Practice address
745 US Hwy 1 Suite 301;302;309
North Palm Beach, FL 33408
Phone
(561) 461-6737
Fax
(850) 852-0127
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Fernande Clerizier
Title
Ceo
Phone
(561) 461-6737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

745 US Hwy 1 Suite 301;302;309
North Palm Beach, FL 33408

Mailing address

4685 Villas Santorini Dr
Lake Worth, FL 33461-5176
Phone (561) 461-6737

Other identifiers 1

IdentifierTypeStateIssuer
000111222333MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2227194Amity Home Care Services,LLC745 US Hwy 1, Suite 301 302 309, North Palm Beach, FL 33408Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Locations

745 US Highway 1
Ste 30130
North Palm Beach, FL 33408
Phone (561) 461-6737

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1497319867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 VILLAS SANTORINI DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615176",
            "telephone_number": "561-461-6737",
            "fax_number": "850-852-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 US HWY 1 SUITE 301;302;309",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-461-6737",
            "fax_number": "850-852-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "CLERIZIER",
        "authorized_official_first_name": "FERNANDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-461-6737"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000111222333",
            "state": "FL"
        }
    ],
    "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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.