Dinah Pickett

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

299994233 Issued in FL

Practice address

2640 Hollywood Blvd Ste 101
Hollywood, FL 33020-4830

Phone

(954) 505-7957

Fax

(954) 744-7408

NPI assigned

Jul 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Coastal Companion Care, LLC

  dba Home Instead Senior Care

  • In Home Supportive Care Agency
  • Hollywood, FL
  • NPI 1780283804
  NPD Authorized official

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1598373300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HOLLYWOOD BLVD STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204830",
            "telephone_number": "954-505-7957",
            "fax_number": "954-744-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HOLLYWOOD BLVD STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204830",
            "telephone_number": "954-505-7957",
            "fax_number": "954-744-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "DINAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299994233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "P230-170-61-509-0",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hollywood",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2640 Hollywood Blvd Ste 101",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330204830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Physician's Institute of Cosmetic and Reconstructive Surgery
• Physicians Creek Inc
• Physicians Imaging Center of Florida LLC
• Physicians of Hollywood LLC
• Gabriela Nunes Piacentini, ACNP
• Jose Antonio Picon, FNP-C
• Pieces of Inspiration Inc
• Gregory Jacob Pierre Louis, PHARMD
• Vanessa Pierre Paul, PHARMD
• Karla Pierre-Louis

• In Home Supportive Care Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.