Active NPI
Eddy Blain
- Home Health Agency
- Margate, FL
National Provider Identifier
1609249747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3110 Holiday Springs Blvd Apt 208
Margate, FL 33063-5418 - Phone
- (954) 278-0971
- Fax
- (305) 414-7957
- NPI assigned
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3110 Holiday Springs Blvd Apt 208
Margate, FL 33063-5418
Mailing address
3110 Holiday Springs Blvd Apt 208
Margate, FL 33063-5418
Phone (954) 278-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008467400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1609249747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 HOLIDAY SPRINGS BLVD APT 208",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635418",
"telephone_number": "954-278-0971",
"fax_number": "305-414-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 HOLIDAY SPRINGS BLVD APT 208",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635418",
"telephone_number": "954-278-0971",
"fax_number": "305-414-7957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIN",
"first_name": "EDDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008467400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Margate, FL
- Bio-Medical Applications of Florida, Inc. (Northwest Broward Artificial Kidney Center)
- Bird's Eye Residence
- Jerome Ira Bistritz, D.D.S.
- Alan Wayne Black, M.D.
- Sofia Blackmore
- Kolisha Blake, RN
- Christina Cartaya Blanco, MD
- Monica Maureen Blanco, LMT
- Meggy Mary Ellyn Blaser Porte, LCSW
- Sarangeli Bleiweiss, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.