My Grandparents House

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MY GRANDPARENTS HOUSE

Practice address

3284 Landing VW
Tavares, FL 32778-2035

Phone

(862) 334-9703

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By 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

Ms. Sophia Priscilla Peart

Title

Owner

Phone

(862) 334-9703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1770176356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STRAIGHT ST APT 311",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 LANDING VW",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782035",
            "telephone_number": "862-334-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GRANDPARENTS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "PEART",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-334-9703",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryn Patrice Mulholland, PA-C
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• In Home Supportive Care Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.