Active NPI
365 Home Healthcare LLC
- Home Health Agency
- West Palm Beach, FL
National Provider Identifier
1730704222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- 365 HOME HEALTHCARE LLC
- Practice address
- 5950 Okeechobee Blvd
West Palm Beach, FL 33417-4324 - Phone
- (561) 460-1398
- NPI assigned
- Jun 10, 2020
- Last updated
- Jun 10, 2020
- 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
- Nestor Marc
- Title
- President
- Phone
- (561) 460-1398
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5950 Okeechobee Blvd
West Palm Beach, FL 33417-4324
Mailing address
5950 Okeechobee Blvd
West Palm Beach, FL 33417-4324
Phone (561) 460-1398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30212117 | Other | FL | AHCA HOME HEALTHCARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desktop | Health Information Exchange (HIE) | |
| CONNECT URL | COMPUTER | Other |
National Provider Directory
National Provider DirectoryLocations
5950 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 460-1398
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- West Palm Beach, FL
- NPI 1134902091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1730704222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 OKEECHOBEE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334174324",
"telephone_number": "561-460-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 OKEECHOBEE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334174324",
"telephone_number": "561-460-1398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "365 HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "MARC",
"authorized_official_first_name": "NESTOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-460-1398"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA HOME HEALTHCARE",
"identifier": "30212117",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "desktop",
"affiliation": "N",
"endpointDescription": "healthcare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "healthcare",
"address_1": "5950 Okeechobee Blvd",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334174324",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "COMPUTER",
"affiliation": "N",
"endpointDescription": "HOME HEALTHCARE",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "HOME HEALTHCARE",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HOME HEALTHCARE",
"address_1": "5950 Okeechobee Blvd",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334174324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.