Organization Active NPI

Homecare Hub of Northeast Florida, LLC

  • In Home Supportive Care Agency
  • Daytona Beach, FL
National Provider Identifier
1790464758
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOMECARE HUB OF NORTHEAST FLORIDA, LLC
Practice address
128 Orange Ave Ste 233
Daytona Beach, FL 32114-4310
Phone
(386) 271-3662
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Daniel Deak
Title
President
Phone
(616) 581-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

128 Orange Ave Ste 233
Daytona Beach, FL 32114-4310

Mailing address

8400 E Prentice Ave PH 1500
Greenwood Village, CO 80111-2927
Phone (616) 581-7878

National Provider Directory

National Provider Directory

Locations

128 Orange Ave
Ste 233
Daytona Beach, FL 32114
Phone (386) 271-3662

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1790464758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 E PRENTICE AVE PH 1500",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112927",
            "telephone_number": "616-581-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ORANGE AVE STE 233",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144310",
            "telephone_number": "386-271-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE HUB OF NORTHEAST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "DEAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-581-7878"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.