Active NPI
Antress Lavorin Burough
- In Home Supportive Care Agency
- Haines City, FL
National Provider Identifier
1700443454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 930 Tennis Way
Haines City, FL 33844-6726 - Phone
- (863) 332-4666
- NPI assigned
- May 28, 2019
- Last updated
- May 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
930 Tennis Way
Haines City, FL 33844-6726
Mailing address
930 Tennis Way
Haines City, FL 33844-6726
Phone (863) 332-4666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1700443454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 TENNIS WAY",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338446726",
"telephone_number": "863-332-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 TENNIS WAY",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338446726",
"telephone_number": "863-332-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUROUGH",
"first_name": "ANTRESS",
"middle_name": "LAVORIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
- Megan Kathleen Bradley, MSW, RCSWI
- Amanda Brendemuehl, MS, ATC, LAT
- Breuer Health of Haines City
- Bright Light Mental Health Services, LLC
- Bright Start Possibilities LLC
- Tisha Cabatana, O.D.
- Calidad de Vida Transportation LLC
- Camelot Healthcare Management Inc. (Suncare Respiratory Services)
- Casey Cameron, DMD
- Ricardo Campos Castro Silva
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.