Homebound Patient Medical Provider

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOMEBOUND PATIENT MEDICAL PROVIDER

Practice address

4706 NW 99TH Ave
Sunrise, FL 33351-4734

Phone

(954) 687-9410

Fax

(954) 678-2608

NPI assigned

Mar 2, 2022

Last updated

Mar 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darlene Valcin, NP

Title

Arnp/Family Nurse Practitioner

Phone

(954) 687-9410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1629725353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 NW 99TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514734",
            "telephone_number": "954-687-9410",
            "fax_number": "954-678-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 NW 99TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514734",
            "telephone_number": "954-687-9410",
            "fax_number": "954-678-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBOUND PATIENT MEDICAL PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "VALCIN",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "ARNP/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-687-9410",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.