Organization Active NPI

CCP Health and Home Care Services, Inc

  • In Home Supportive Care Agency
  • Davie, FL
National Provider Identifier
1679895098
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Mar 14, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
121359500MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.