Organization Active NPI

Secure Home Care Agency, Inc.

  • Home Health Agency
  • Boynton Beach, FL
National Provider Identifier
1639901697
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SECURE HOME CARE AGENCY, INC.
Practice address
2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323
Phone
(561) 810-0961
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Raymond Poulard
Title
Ceo
Phone
(561) 564-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323

Mailing address

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323
Phone (561) 810-0961

Other names 1

  • SECURE HOME CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1639901697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-810-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-810-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "POULARD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-564-0255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SECURE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.