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  • Health Maintenance Organization
  • Wilton Manors, FL
National Provider Identifier
1821229063
Registry record updated Aug 5, 2009
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Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
269764701 Issued in FL
Legal business name
WELCOME HOME
Practice address
9 NE 19TH CT
#C115
Wilton Manors, FL 33305-1090
Phone
(754) 204-8886
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Byron Jerome Rankins
Title
President
Phone
(754) 204-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 269764701 FL Primary

Addresses

Primary practice location

9 NE 19TH CT
#C115
Wilton Manors, FL 33305-1090

Mailing address

9 NE 19TH CT
#C115
Wilton Manors, FL 33305-1090
Phone (754) 204-8886

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1821229063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NE 19TH CT",
            "address_2": "#C115",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051090",
            "telephone_number": "754-204-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NE 19TH CT",
            "address_2": "#C115",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051090",
            "telephone_number": "754-204-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCOME HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "RANKINS",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-204-8886"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "269764701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.