Active NPI
Maria Polanco
- Home Health Agency
- Spring Hill, FL
National Provider Identifier
1518339183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 6906787
- Practice address
- 1285 Valiant Ave
Spring Hill, FL 34608-6041 - Phone
- (352) 610-2360
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 6906787 | FL | Primary |
Addresses
Primary practice location
1285 Valiant Ave
Spring Hill, FL 34608-6041
Mailing address
1285 Valiant Ave
Spring Hill, FL 34608-6041
Phone (352) 610-2360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311215199 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6906787 | FL | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1518339183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 VALIANT AVE",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346086041",
"telephone_number": "352-610-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 VALIANT AVE",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346086041",
"telephone_number": "352-610-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO",
"first_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "6906787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311215199",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.