Pcah Gushue LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PCAH GUSHUE LLC

Practice address

1275 S Patrick Dr # A3
Satellite Beach, FL 32937-3963

Phone

(321) 329-5300

Fax

(321) 329-5300

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Fred Gushue Jr.

Title

Ceo

Phone

(321) 329-5300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1649032889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR # A3",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-329-5300",
            "fax_number": "321-329-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR # A3",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-329-5300",
            "fax_number": "321-329-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCAH GUSHUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "GUSHUE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-329-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel L Lapoint
• Gwen M Olcsvay, L.C.S.W.
• Catherine Oxley, LCSW
• Lisa Carol Parenti, DC
• Patricia Lebron, Arnp
• Pearl Medical Pain Centers, LLC
• Shannon Peeples, APRN
• Paula Gaskin Perez, RPH
• Jennifer Petsche
• Jillian Rose Pfister, MPH, IBCLC

• In Home Supportive Care Agency in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.