Autumn Home Care of South Western Florida, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993223 Issued in FL

Legal business name

AUTUMN HOME CARE OF SOUTH WESTERN FLORIDA, LLC

Practice address

4456 Tamiami TRL
Suite A4
Punta Gorda, FL 33980-2101

Phone

(941) 979-5184

Fax

(941) 979-5237

NPI assigned

Jul 31, 2008

Last updated

May 19, 2011By 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

Patrick Ambrose, CPA

Title

Owner

Phone

(727) 398-4467

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1639335524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10773 70TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726302",
            "telephone_number": "727-398-4467",
            "fax_number": "727-399-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4456 TAMIAMI TRL",
            "address_2": "SUITE A4",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339802101",
            "telephone_number": "941-979-5184",
            "fax_number": "941-979-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HOME CARE OF SOUTH WESTERN FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-398-4467",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.