Housecall Supportive Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

204960961 Issued in FL

Legal business name

HOUSECALL SUPPORTIVE SERVICES, LLC

Doing business as

Amedisys Home Health

Practice address

12601 New Brittany Blvd
Building 19
Ft Myers, FL 33907-3631

Phone

(239) 275-8883

Fax

(239) 275-8859

NPI assigned

May 5, 2006

Last updated

Aug 6, 2012By 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

William Borne

Title

Ceo

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amedisys Home Health Doing business as

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1811945330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 NEW BRITTANY BLVD",
            "address_2": "BUILDING 19",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339073631",
            "telephone_number": "239-275-8883",
            "fax_number": "239-275-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALL SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "204960961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004546200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Allen Hothem, D.O.
• Melanie Hottel, DNP, FNP-C
• Nicole B Houle, ARNP
• Stephanie Anne House, LMHC
• Housecall Supportive Services, Inc. (Amedisys of the South Coast)
• Michael Ian Hovenden, MD
• Justin Tyler Hover, MD
• Olivia Noelle Hovis, PA-C
• Howard M Imanuel DPM PA (The Podiatry Center)
• Ciera Howard, DPT

• Home Health Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.