Organization Active NPI

Affordable Care at Home

  • Home Health Agency
  • Vero Beach, FL
National Provider Identifier
1558743591
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211786 Issued in FL
Legal business name
AFFORDABLE CARE AT HOME
Practice address
1125 12TH St
Suite F
Vero Beach, FL 32960-3791
Phone
(772) 925-8560
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Eric YoungNPI 1912380023
Title
Cfo/Owner
Phone
(772) 925-8560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211786 FL Primary

Addresses

Primary practice location

1125 12TH St
Suite F
Vero Beach, FL 32960-3791

Mailing address

1125 12TH St
Suite F
Vero Beach, FL 32960-3791
Phone (772) 925-8560

National Provider Directory

National Provider Directory

Locations

1125 12th St
Ste F
Vero Beach, FL 32960
Phone (772) 925-8560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1558743591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 12TH ST",
            "address_2": "SUITE F",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603791",
            "telephone_number": "772-925-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 12TH ST",
            "address_2": "SUITE F",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603791",
            "telephone_number": "772-925-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "772-925-8560"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.