Organization Active NPI

Personic Healthcare LLC

  • Wound Care Registered Nurse
  • Maitland, FL
National Provider Identifier
1558033100
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
PERSONIC HEALTHCARE LLC
Practice address
555 Winderley PL Ste 300
Maitland, FL 32751-7133
Phone
(251) 901-3011
Fax
(215) 933-6837
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Fahad Hashmi
Title
Owner
Phone
(251) 901-3011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

555 Winderley PL Ste 300
Maitland, FL 32751-7133

Mailing address

PO Box 8209
Vienna, VA 22183-2058
Phone (251) 901-3011

National Provider Directory

National Provider Directory

Locations

5590 NE 6th Ave
Ft Lauderdale, FL 33334
Phone (866) 986-0580

1 Harbison Way
Columbia, SC 29212

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1558033100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8209",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221832058",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WINDERLEY PL STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517133",
            "telephone_number": "251-901-3011",
            "fax_number": "215-933-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "HASHMI",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-901-3011"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.