NPIMap

Organization Active NPI

Next Door D3 Holdings LLC

  • Home Health Agency
  • Fruitland Park, FL
National Provider Identifier
1679953590
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEXT DOOR D3 HOLDINGS LLC
Practice address
2405 Hwy 27/441
BLDG. 2
Fruitland Park, FL 34731-2138
Phone
(352) 365-6344
Fax
(352) 365-6346
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Mrs. Shelley Lynn Angell, RN
Title
Administrator
Phone
(352) 365-6344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2405 Hwy 27/441
BLDG. 2
Fruitland Park, FL 34731-2138

Mailing address

2405 Hwy 27/441
BLDG. 2
Fruitland Park, FL 34731-2138
Phone (352) 365-6344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1679953590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 HWY 27/441",
            "address_2": "BLDG. 2",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347312138",
            "telephone_number": "352-365-6344",
            "fax_number": "352-365-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 HWY 27/441",
            "address_2": "BLDG. 2",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347312138",
            "telephone_number": "352-365-6344",
            "fax_number": "352-365-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT DOOR D3 HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-365-6344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.