Individual provider Active NPI

Ashante Chalcedony Antenor, CCMA, CET

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1508456682
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
K3K8Y3P3 Issued in FL
Practice address
1973 Brandywine Rd
West Palm Beach, FL 33409-6802
Phone
(954) 289-7247
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X K3K8Y3P3 FL Primary

Addresses

Primary practice location

1973 Brandywine Rd
West Palm Beach, FL 33409-6802

Mailing address

1973 Brandywine Rd Apt 107
West Palm Beach, FL 33409-6803
Phone (954) 289-7247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
K3K8Y3P3FLMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1508456682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 BRANDYWINE RD APT 107",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096803",
            "telephone_number": "954-289-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 BRANDYWINE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096802",
            "telephone_number": "954-289-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTENOR",
        "first_name": "ASHANTE",
        "middle_name": "CHALCEDONY",
        "credential": "CCMA, CET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "K3K8Y3P3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

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