Active NPI
Ruth and Emile Allegiance Group Home
- In Home Supportive Care Agency
- Greenacres, FL
National Provider Identifier
1659043248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- RUTH AND EMILE ALLEGIANCE GROUP HOME
- Practice address
- 225 Swain Blvd
Greenacres, FL 33463 - Phone
- (561) 635-5130
- NPI assigned
- Oct 1, 2021
- 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
- Ruth Jackson, CARE GIVER
- Title
- Owner
- Phone
- (561) 635-5130
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 | Primary |
Addresses
Primary practice location
225 Swain Blvd
Greenacres, FL 33463
Mailing address
225 Swain Blvd
Greenacres, FL 33463
Phone (561) 635-5130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83362554 | Other | FL | APD |
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.
-
- Contractor
- Greenacres, FL
- NPI 1669144317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633046400000",
"number": "1659043248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 SWAIN BLVD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "33463",
"telephone_number": "561-635-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SWAIN BLVD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "33463",
"telephone_number": "561-635-5130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTH AND EMILE ALLEGIANCE GROUP HOME",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-635-5130",
"authorized_official_credential": "CARE GIVER"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APD",
"identifier": "83362554",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.