Andrew Park

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

10225 Ulmerton Rd Ste 10C
Largo, FL 33771-3526

Phone

(303) 931-2035

NPI assigned

Sep 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PPH FL-Suncoast, LLC

  • In Home Supportive Care Agency
  • Largo, FL
  • NPI 1447078951
  NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1548049117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6394 S MILLBROOK WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162474",
            "telephone_number": "303-931-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 10C",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713526",
            "telephone_number": "303-931-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryfrances Papadakis, LMHC
• Crystal Papak, ARNP
• Demetrios Nicholas Pappas
• Paradigm Health Care Services, LLC
• Shruthi Parasher, M.D.
• Keum Park
• Betsy Charlotte Parker, ARNP
• Caroline Ann Parker, PHARMD
• Zaida Parra
• Serena Parson

• Home Health Aide in Largo, FL
• Providers in Largo, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.