Home Health Agency-Palm Beaches, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991617 Issued in FL

Legal business name

HOME HEALTH AGENCY-PALM BEACHES, LLC

Practice address

8198 S Jog Rd
Suite 101
Boynton Beach, FL 33472-2900

Phone

(561) 244-6055

Fax

(561) 244-6085

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Amanda McFaddin, BSHCM

Title

Director of Licensing/Accreditation

Phone

(615) 712-2250

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SunCrest OMNI Doing business as

Locations

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1558355396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 150",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-627-9267",
            "fax_number": "615-577-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722900",
            "telephone_number": "561-244-6055",
            "fax_number": "561-244-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY-PALM BEACHES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "MCFADDIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF LICENSING/ACCREDITATION",
        "authorized_official_telephone_number": "615-712-2250",
        "authorized_official_credential": "BSHCM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004481200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest OMNI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Evelyn Hollihan, APRN
• Deborah Hollimon, A.R.N.P.
• Holy Cross Hospital
• Holy Cross Hospital
• Home Companion Services of Florida, Inc.
• Home Health Corporation of America, Inc-Fort Pierce Home Health Serv
• Home Podiatry Group PLLC
• Home With Help of Florida, Inc.
• Carol Honig, PT
• Hope Behavioral Services LLC

• Home Health Agency in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.