Organization Active NPI

One Family Home Health Care

  • Adult Care Home Facility
  • Palm Coast, FL
National Provider Identifier
1689114019
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906826 Issued in FL
Legal business name
ONE FAMILY HOME HEALTH CARE
Practice address
19 Burning Wick PL
Palm Coast, FL 32137-8802
Phone
(386) 631-0432
Fax
(386) 597-2779
NPI assigned
Mar 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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

Authorized official

Name
Marie Erlyne LouisNPI 1992157689
Title
Administrator
Phone
(386) 631-0432

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)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906826 FL Primary

Addresses

Primary practice location

19 Burning Wick PL
Palm Coast, FL 32137-8802

Mailing address

19 Burning Wick PL
Palm Coast, FL 32137-8802
Phone (386) 631-0432

Other names 1

  • One Family Home Health Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488585600000",
    "number": "1689114019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BURNING WICK PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378802",
            "telephone_number": "386-631-0432",
            "fax_number": "386-597-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BURNING WICK PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378802",
            "telephone_number": "386-631-0432",
            "fax_number": "386-597-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE FAMILY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ERLYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-631-0432"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Family Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.