Fresh Horizons Alf

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

AL10323 Issued in FL

Legal business name

FRESH HORIZONS ALF

Practice address

4836 35TH Ave
Vero Beach, FL 32967-1172

Phone

(772) 564-7271

Fax

(772) 567-8361

NPI assigned

Jun 25, 2013

Organization subpart

Yes

Parent organization

ROCK SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Ms. Barbara Andrews

Title

Administrator

Phone

(772) 562-1963

Specialties & licenses 1

Addresses

Other identifiers 3

Part of

Fresh Horizons Alf

Locations

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1649610510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 35TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671172",
            "telephone_number": "772-564-7271",
            "fax_number": "772-567-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 35TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671172",
            "telephone_number": "772-564-7271",
            "fax_number": "772-567-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH HORIZONS ALF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCK SERVICES, INC.",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-562-1963",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "AL10323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHCA",
            "identifier": "AL10323",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "002968400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "100319687",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheree Dominique Ewar Frazier, ARNP
• Fred J Petrilla Jr PHD & Associates PA
• Gabrielle E Freeman
• Fresenius Medical Care Comprehensive CKD Services Inc (CKD Services of Vero Beach)
• Fresenius Medical Care Vero Beach, LLC (Fresenius Kidney Care Vero Beach)
• Allen Paul Friedenstab, M.D.
• Ian Blair Fries, M.D.
• Susan Blair Fries, D.C.
• April Fritz
• Elizabeth Ann Fryer, PT, DPT

• Community Health Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.