Active NPI
Madison Heights Homecare Services
- In Home Supportive Care Agency
- Auburndale, FL
National Provider Identifier
1639946171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MADISON HEIGHTS HOMECARE SERVICES
- Practice address
- 215 Adams St
Auburndale, FL 33823-3614 - Phone
- (407) 921-9810
- NPI assigned
- Dec 5, 2023
- Last updated
- Dec 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Wilson
- Title
- Owner
- Phone
- (407) 921-9810
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
215 Adams St
Auburndale, FL 33823-3614
Mailing address
215 Adams St
Auburndale, FL 33823-3614
Phone (407) 921-9810
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701734400000",
"number": "1639946171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 ADAMS ST",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338233614",
"telephone_number": "407-921-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 ADAMS ST",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338233614",
"telephone_number": "407-921-9810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON HEIGHTS HOMECARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-921-9810"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburndale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.