Elder Assistance, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

230919 Issued in FL

Legal business name

ELDER ASSISTANCE, LLC

Practice address

5620 Missouri Ave
New Port Richey, FL 34652-2650

Phone

(727) 326-4432

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Kathleen Mengle

Title

Owner/Administrator

Phone

(727) 326-4432

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elder Assistance of New Port Richey, LLC Other name

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1629343900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 US HIGHWAY 19",
            "address_2": "SUITE 201",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523700",
            "telephone_number": "727-326-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 MISSOURI AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522650",
            "telephone_number": "727-326-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "MENGLE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "727-326-4432"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "230919",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "9179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000732100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Assistance of New Port Richey, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in New Port Richey, FL
• Providers in New Port Richey, 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 Feb 27, 2014; 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.