Organization Active NPI

Clemons Group Home LLC

  • Home Health Agency
  • Plant City, FL
National Provider Identifier
1811612674
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLEMONS GROUP HOME LLC
Practice address
3111 Clemons Rd
Plant City, FL 33566-4643
Phone
(813) 810-6844
Fax
(813) 602-2388
NPI assigned
Oct 4, 2022
Last updated
Oct 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Cassandra Virginia Simpson, BSN, RNNPI 1043722838
Title
Administrator
Phone
(813) 810-6844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Health Service Clinic/Center 261QH0100X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

3111 Clemons Rd
Plant City, FL 33566-4643

Mailing address

3111 Clemons Rd
Plant City, FL 33566-4643
Phone (813) 810-6844

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1811612674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CLEMONS RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335664643",
            "telephone_number": "813-810-6844",
            "fax_number": "813-602-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CLEMONS RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335664643",
            "telephone_number": "813-810-6844",
            "fax_number": "813-602-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMONS GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-810-6844",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.