Active NPI
CCP Health and Home Care Services, Inc
- In Home Supportive Care Agency
- Davie, FL
National Provider Identifier
1679895098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CCP HEALTH AND HOME CARE SERVICES, INC
- Practice address
- 4801 S University Drive
Suite 206
Davie, FL 33328-3837 - Phone
- (954) 651-6057
- Fax
- (954) 651-6058
- NPI assigned
- Feb 26, 2010
- 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
- Winston Bramwell
- Title
- Owner/Administrator
- Phone
- (954) 651-6057
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 30211434 | FL | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4801 S University Drive
Suite 206
Davie, FL 33328-3837
Mailing address
5230 S University Dr Ste 103D
Davie, FL 33328-5319
Phone (954) 651-6057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121359500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
5230 S University Dr
Ste 103D
Davie, FL 33328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1679895098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 S UNIVERSITY DR STE 103D",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285319",
"telephone_number": "954-651-6057",
"fax_number": "954-651-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S UNIVERSITY DRIVE",
"address_2": "SUITE 206",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283837",
"telephone_number": "954-651-6057",
"fax_number": "954-651-6058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCP HEALTH AND HOME CARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-26",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "BRAMWELL",
"authorized_official_first_name": "WINSTON",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "954-651-6057"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "30211434",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121359500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.