Organization Active NPI

SDB Health Services, Inc

  • Home Health Agency
  • Melbourne, FL
National Provider Identifier
1508136284
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211491 Issued in FL
Legal business name
SDB HEALTH SERVICES, INC
Practice address
1370 Sarno Rd
Suite C
Melbourne, FL 32935-5230
Phone
(321) 608-3838
Fax
(321) 286-5808
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mr. Andrew J Smith
Title
Administrator
Phone
(321) 608-3838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211491 FL Primary
Nursing Care Agency 251J00000X 30211491 FL

Addresses

Primary practice location

1370 Sarno Rd
Suite C
Melbourne, FL 32935-5230

Mailing address

1370 Sarno Rd
Suite C
Melbourne, FL 32935-5230
Phone (321) 608-3838

Other identifiers 1

IdentifierTypeStateIssuer
NR# 30211491OtherFLAHCA

Other names 1

  • Champion Home Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1508136284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 SARNO RD",
            "address_2": "SUITE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355230",
            "telephone_number": "321-608-3838",
            "fax_number": "321-286-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 SARNO RD",
            "address_2": "SUITE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355230",
            "telephone_number": "321-608-3838",
            "fax_number": "321-286-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDB HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-608-3838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211491",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "NR# 30211491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.