Southeast Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299992181 Issued in FL

Legal business name

SOUTHEAST HOMECARE LLC

Practice address

1200 NW 17TH Ave Ste 10
Delray Beach, FL 33445-2512

Phone

(561) 819-6400

Fax

(561) 819-6401

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Linda Mendez

Title

Chief Operating Officer

Phone

(844) 215-4264

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southeast Homecare Doing business as

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1619102407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW 17 AVENUE",
            "address_2": "SUITE 10",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-819-6400",
            "fax_number": "561-819-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 17TH AVE STE 10",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452512",
            "telephone_number": "561-819-6400",
            "fax_number": "561-819-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "844-215-4264"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "108247",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Delray Beach, FL
• Providers in Delray Beach, 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 18, 2019; 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.