Organization Active NPI

Trysail FLHC Holdings LLC

Doing business as FirstLight HomeCare of Southern Palm Beach Co

  • In Home Supportive Care Agency
  • Delray Beach, FL
National Provider Identifier
1801208640
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRYSAIL FLHC HOLDINGS LLC
Doing business as
FirstLight HomeCare of Southern Palm Beach Co
Practice address
80 NE 4TH Ave
Suite 28
Delray Beach, FL 33483-4564
Phone
(561) 271-4644
Fax
(831) 851-1876
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Mr. Christopher H Ruth
Title
Manager
Phone
(561) 271-4644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X FL Primary

Addresses

Primary practice location

80 NE 4TH Ave
Suite 28
Delray Beach, FL 33483-4564

Mailing address

80 NE 4TH Ave
Suite 28
Delray Beach, FL 33483-4564
Phone (561) 271-4644

Other identifiers 1

IdentifierTypeStateIssuer
015845500MedicaidFL

Other names 1

  • FirstLight HomeCare of Southern Palm Beach Co Doing business as

National Provider Directory

National Provider Directory

Locations

80 NE 4th Ave
Ste 28
Delray Beach, FL 33483
Phone (561) 271-4644

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1801208640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NE 4TH AVE",
            "address_2": "SUITE 28",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834564",
            "telephone_number": "561-271-4644",
            "fax_number": "831-851-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NE 4TH AVE",
            "address_2": "SUITE 28",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834564",
            "telephone_number": "561-271-4644",
            "fax_number": "831-851-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRYSAIL FLHC HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-271-4644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015845500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight HomeCare of Southern Palm Beach Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.