Organization 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
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 9, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
651094432OtherFLTAX ID

Other names 1

  • CareSouth Homecare Professionals Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.