Active NPI
Allcare Health & Human Services, Inc
- Home Health Agency
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia I Williams
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Mar 14, 2005 in FL
- Enrollment address
- 439 SE Port St Lucie Blvd
Ste 117
Port St Lucie, FL 34984-5158
Care Compare: Home health agency
Medicare Care Compare- Listed as
- All Care Health & Human Services, Inc
- Ownership
- -
- Certified
- Apr 8, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Williams | Contracted Managing Employee | Mar 14, 2005 | 100% |
| 5% Or Greater Direct Ownership Interest | Mar 14, 2005 | 100% | |
| 5% Or Greater Indirect Ownership Interest | Mar 14, 2005 | 100% | |
| 5% Or Greater Security Interest | Mar 14, 2005 | 100% | |
| General Partnership Interest | Mar 14, 2005 | 100% | |
| Limited Partnership Interest | Mar 14, 2005 | 100% | |
| Corporate Officer | Mar 14, 2005 | 100% | |
| Corporate Director | Mar 14, 2005 | 100% | |
| W-2 Managing Employee | Jan 1, 2018 | 100% | |
| Operational/Managerial Control | Mar 14, 2005 | 100% | |
| Other | 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.
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1053762294
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.