NPIMap

Organization Active NPI

Florida Hospital Waterman Inc

  • Home Health Agency
  • Leesburg, FL
National Provider Identifier
1831131200
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA206360961 Issued in FL
Legal business name
FLORIDA HOSPITAL WATERMAN INC
Practice address
9909 US Hwy 441
Unit 2 Suite B
Leesburg, FL 34788
Phone
(352) 253-3900
Fax
(352) 253-3901
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Terri Warren
Title
Cfo
Phone
(352) 253-3521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA206360961 FL Primary

Addresses

Primary practice location

9909 US Hwy 441
Unit 2 Suite B
Leesburg, FL 34788

Mailing address

9909 US Hwy 441
Unit 2 Suite B
Leesburg, FL 34788
Phone (352) 253-3900

Other identifiers 4

IdentifierTypeStateIssuer
6507735-79MedicaidFL
6754864-96MedicaidFL
6507735-00MedicaidFL
6754864-03MedicaidFL

Other names 2

  • ADVENTHEALTH HOME CARE PRIVATE DUTY WATERMAN Doing business as
  • Florida Hospital Waterman Home Care Services Private Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Hospital Waterman Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3270 Waterman Way
Tavares, FL 32778

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1831131200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 US HWY 441",
            "address_2": "UNIT 2 SUITE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34788",
            "telephone_number": "352-253-3900",
            "fax_number": "352-253-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 US HWY 441",
            "address_2": "UNIT 2 SUITE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34788",
            "telephone_number": "352-253-3900",
            "fax_number": "352-253-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOSPITAL WATERMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-253-3521"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA206360961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6507735-79",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6754864-96",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6507735-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6754864-03",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH HOME CARE PRIVATE DUTY WATERMAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Hospital Waterman Home Care Services Private Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Hospital Waterman Home Care Services Private Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.