Organization Active NPI

Allcare Health & Human Services, Inc

  • Home Health Agency
  • Port Saint Lucie, FL
National Provider Identifier
1821271024
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLCARE HEALTH & HUMAN SERVICES, INC
Practice address
3364 SW Crestview Rd
Port Saint Lucie, FL 34953-3538
Phone
(772) 785-5102
Fax
(772) 785-6090
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Ms. Patricia I WilliamsNPI 1053762294
Title
President
Phone
(772) 785-5102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3364 SW Crestview Rd
Port Saint Lucie, FL 34953-3538

Mailing address

3364 SW Crestview Rd
Port Saint Lucie, FL 34953-3538
Phone (772) 785-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218000268 FL Part A Provider - Home Health Agency 4486951548 Practice locations: Port St Lucie, FL

Home health agency certification: CCN 687171

Legal name
ALLCARE HEALTH & HUMAN SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 8, 2022
Last certification
Feb 25, 2022
Organization structure
CorporationProprietary
Incorporated
Mar 14, 2005 in FL
Enrollment address
439 SE Port St Lucie Blvd
Ste 117
Port St Lucie, FL 34984-5158
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
All Care Health & Human Services, IncCCN 687171
Ownership
-
Certified
Apr 8, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

439 SE Port St Lucie Blvd
Ste 117
Port St Lucie, FL 34984
Phone (772) 201-8128

1802 SW Biltmore St
Port St Lucie, FL 34984
Phone (772) 785-5102

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Williams Individual Contracted Managing EmployeeManager Mar 14, 2005 100%
5% Or Greater Direct Ownership InterestPresident Mar 14, 2005 100%
5% Or Greater Indirect Ownership InterestPresident Mar 14, 2005 100%
5% Or Greater Security InterestOwner Mar 14, 2005 100%
General Partnership InterestOwner Mar 14, 2005 100%
Limited Partnership InterestOwner Mar 14, 2005 100%
Corporate OfficerAdministrator Mar 14, 2005 100%
Corporate DirectorDirector Mar 14, 2005 100%
W-2 Managing EmployeeManager Jan 1, 2018 100%
Operational/Managerial ControlOwner Mar 14, 2005 100%
OtherAdministrator Mar 14, 2005 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1821271024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 SW CRESTVIEW RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533538",
            "telephone_number": "772-785-5102",
            "fax_number": "772-785-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 SW CRESTVIEW RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533538",
            "telephone_number": "772-785-5102",
            "fax_number": "772-785-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE HEALTH & HUMAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-785-5102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.