NPIMap

Organization Active NPI

New Beginning Home Health Agency

  • Health Maintenance Organization
  • Tavares, FL
National Provider Identifier
1639585961
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
004611800 Issued in FL
Legal business name
NEW BEGINNING HOME HEALTH AGENCY
Practice address
925 E Alfred St
Tavares, FL 32778-3401
Phone
(352) 508-5915
Fax
(352) 508-5916
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Countess Watkins
Title
Owner
Phone
(352) 508-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 004611800 FL Primary

Addresses

Primary practice location

925 E Alfred St
Tavares, FL 32778-3401

Mailing address

925 E Alfred St
Tavares, FL 32778-3401
Phone (352) 508-5915

Other identifiers 1

IdentifierTypeStateIssuer
004611800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
New Beginning Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

925 E Alfred St
Tavares, FL 32778
Phone (352) 508-5915

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1639585961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783401",
            "telephone_number": "352-508-5915",
            "fax_number": "352-508-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783401",
            "telephone_number": "352-508-5915",
            "fax_number": "352-508-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNING HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "COUNTESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-508-5915"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "004611800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004611800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.