E and a Medical on the Go Healthcare of South Florida LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC

Doing business as

E and A Healthcare on the go

Practice address

4745 NW 114TH Dr
Coral Springs, FL 33076-2153

Phone

(561) 388-9337

NPI assigned

Aug 4, 2020

Organization subpart

No

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

Authorized official

Name

Ebonee Blackwood, APRNNPI 1083141626

Title

Owner/Provider

Phone

(561) 388-9337

Specialties & licenses 1

Addresses

Other names 1

• E and A Healthcare on the go Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: ebonee.blackwood@eandamedicalonthego.com

Practitioners 2

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

• Ebonee Monique Blackwood, NURSE PRACTITIONER

  • Nurse Practitioner
  • Royal Palm Beach, FL
  • NPI 1083141626
  Medicare reassignment NPD Authorized official
• Chanrecle Erainal Rumpasard, APRN

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1669156121
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1598375651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 NW 114TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 NW 114TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762153",
            "telephone_number": "561-388-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "EBONEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "561-388-9337",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ebonee.blackwood@eandamedicalonthego.com",
            "affiliation": "N",
            "address_1": "4745 NW 114th Dr",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330762153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "E and A Healthcare on the go",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "E and A Healthcare on the go",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Coral Springs, FL
• Providers in Coral Springs, 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 Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.