Organization Active NPI

Greystone Home Healthcare LLC

  • Home Health Agency
  • Daytona Beach, FL
National Provider Identifier
1558635458
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993954 Issued in FL
Legal business name
GREYSTONE HOME HEALTHCARE LLC
Practice address
1704 Huntington Village Circle
Suite a
Daytona Beach, FL 32114
Phone
(386) 258-5544
Fax
(386) 255-5623
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Jacqueline F. Price
Title
Authorized Official
Phone
(813) 635-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993954 FL Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1704 Huntington Village Circle
Suite a
Daytona Beach, FL 32114

Mailing address

4042 Park Oaks Blvd
Suite 300
Tampa, FL 33610-9558
Phone (813) 635-9500

National Provider Directory

National Provider Directory

Locations

1704 Huntington Village Cir
Ste A
Daytona Beach, FL 32114
Phone (386) 258-5544

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1558635458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 PARK OAKS BLVD",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109558",
            "telephone_number": "813-635-9500",
            "fax_number": "813-635-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HUNTINGTON VILLAGE CIRCLE",
            "address_2": "SUITE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-258-5544",
            "fax_number": "386-255-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYSTONE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993954",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.