Organization Active NPI

365 Home Healthcare LLC

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1730704222
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Nestor MarcNPI 1134902091
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30212117OtherFLAHCA HOME HEALTHCARE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL desktop Health Information Exchange (HIE)
CONNECT URL COMPUTER Other

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in West Palm Beach, FL

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.

Verify at the official NPI Registry.