Autism Home Health Moms

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

Legal business name

AUTISM HOME HEALTH MOMS

Practice address

798 SW Belmont Cir
Port Saint Lucie, FL 34953-6338

Phone

(772) 924-5773

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Jillian Lee Ricard

Title

Owner/Parent

Phone

(772) 924-5773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1811306368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 SW BELMONT CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536338",
            "telephone_number": "772-924-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 SW BELMONT CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536338",
            "telephone_number": "772-924-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM HOME HEALTH MOMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "RICARD",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PARENT",
        "authorized_official_telephone_number": "772-924-5773"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Chari Auerbach, LCSW
• Larry Phillip Auerbach, LCSW
• Astrude Auguste
• Violette Augustin
• Macdalie Aumoithe
• David Ayala, LMT
• Kathleen Sison Azcona, PT
• B & M Oximetry Lab, Inc.
• B & T Diagnostics LLC
• B.S.L. Construction., Co

• Clinical Nurse Specialist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.