Organization Active NPI

Restore Health Services Inc

Doing business as Restore Home Health Agency

  • Home Health Agency
  • Mount Dora, FL
National Provider Identifier
1679027858
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESTORE HEALTH SERVICES INC
Doing business as
Restore Home Health Agency
Practice address
4400 N Highway 19a Ste 9
Mount Dora, FL 32757-2022
Phone
(352) 589-0357
NPI assigned
Aug 5, 2016
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Jennifer Merritt
Title
Administrator
Phone
(352) 508-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4400 N Highway 19a Ste 9
Mount Dora, FL 32757-2022

Mailing address

4400 N Highway 19a Ste 9
Mount Dora, FL 32757-2022
Phone (352) 589-0357

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGOtherFLPENDING
104831100MedicaidFL

Other names 1

  • Restore Home Health Agency Doing business as

National Provider Directory

National Provider Directory

Locations

4400 N Highway 19A
Ste 9
Mount Dora, FL 32757
Phone (352) 434-9185

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1679027858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N HIGHWAY 19A STE 9",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572022",
            "telephone_number": "352-589-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N HIGHWAY 19A STE 9",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572022",
            "telephone_number": "352-589-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-508-5915"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104831100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.