Idalen Homecare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

232995 Issued in FL

Legal business name

IDALEN HOMECARE SERVICES INC

Practice address

213 Meljane Dr
Winter Garden, FL 34787

Phone

(407) 719-1086

Fax

(407) 309-3734

NPI assigned

Nov 18, 2016

Last updated

Nov 18, 2016By 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

Mrs. Beverley Henderson

Title

Owner

Phone

(407) 247-6737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1790228088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MELJANE DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873388",
            "telephone_number": "407-719-1086",
            "fax_number": "407-309-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MELJANE DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-719-1086",
            "fax_number": "407-309-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDALEN HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-247-6737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "232995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Winter Garden, FL
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• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.