Active NPI
Caresouth HHA Holdings of the Sunshine Coast LLC
Doing business as CareSouth Homecare Professionals
- Home Health Agency
- Fort Lauderdale, FL
National Provider Identifier
1780637082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CARESOUTH HHA HOLDINGS OF THE SUNSHINE COAST LLC
- Doing business as
- CareSouth Homecare Professionals
- Practice address
- 5420 NW 33Rd Ave
Suite 109
Fort Lauderdale, FL 33309-6348 - Phone
- (954) 486-4930
- Fax
- (954) 486-4928
- NPI assigned
- May 18, 2006
- 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
- Mr. Rick W Griffin
- Title
- Pres/Ceo
- Phone
- (706) 855-5533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5420 NW 33Rd Ave
Suite 109
Fort Lauderdale, FL 33309-6348
Mailing address
PO Box 200
Augusta, GA 30903-0200
Phone (706) 855-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651094432 | Other | FL | TAX ID |
Other names 1
- CareSouth Homecare Professionals
National Provider Directory
National Provider DirectoryLocations
5420 NW 33rd Ave
Ste 109
Ft Lauderdale, FL 33309
Phone (951) 733-4149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373328000000",
"number": "1780637082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309030200",
"telephone_number": "706-855-5533",
"fax_number": "706-854-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 NW 33RD AVE",
"address_2": "SUITE 109",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333096348",
"telephone_number": "954-486-4930",
"fax_number": "954-486-4928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARESOUTH HHA HOLDINGS OF THE SUNSHINE COAST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2013-07-09",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "RICK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRES/CEO",
"authorized_official_telephone_number": "706-855-5533",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "651094432",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CareSouth Homecare Professionals",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- Care Management Resources LLC
- Careassist Home Care (CareAssist Home Health)
- Carefect Mobile Medical Services
- Caremart, Inc (Caremart Pharmacy)
- Caren B. Singer, MD,PA
- Caretenders of Ft. Lauderdale, Inc (Almost Family)
- Lauren Madeleine Carew, RNFA
- Carewell Systems LLC
- Davida Sophia Carey
- Sara Michelle Carey, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.