Home Again of Southwest Florida,Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOME AGAIN OF SOUTHWEST FLORIDA,INC.

Practice address

1357 Ramsdel St
Port Charlotte, FL 33952-2887

Phone

(941) 743-4857

Fax

(800) 921-4989

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Ashley

Title

President

Phone

(941) 743-4857

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1750684809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380183",
            "city": "MURDOCK",
            "state": "FL",
            "postal_code": "339380183",
            "telephone_number": "941-743-4857",
            "fax_number": "800-921-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 RAMSDEL ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339522887",
            "telephone_number": "941-743-4857",
            "fax_number": "800-921-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AGAIN OF SOUTHWEST FLORIDA,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-743-4857"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "678473996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS, L.L.C. (CVS Pharmacy # 05410)
• Laura Frances Hollenbeck, APRN
• Susie Jane Holliday, RCSWI, MSW
• Edward Holloway, CRNA
• William A Holt, DO
• Home Health Care Resources Corp.
• Homoky Family Dentistry PA
• Joseph Michael Homoky, D.M.D.
• Travis Hook
• Hope & Associates, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.