Active NPI
Lula M Frazier
- Home Health Agency
- Tavares, FL
National Provider Identifier
1831504471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 233478
- Practice address
- 2513 Dora Ave
Tavares, FL 32778-4977 - Phone
- (352) 508-9552
- Fax
- (352) 508-9798
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 233478 | FL | Primary |
Addresses
Primary practice location
2513 Dora Ave
Tavares, FL 32778-4977
Mailing address
2513 Dora Ave
Tavares, FL 32778-4977
Phone (352) 508-9552
Other practice location 1
1326 WN Blvd
Suite 11
Leesburg, FL 34748-3474
Phone (352) 460-3529
Other names 1
- Lula M Frazier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233478 | FL | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Homecare, LLC. | Home Health | Current | Accepting new patients |
| Lula Frazier | Home Health | Past | Accepting new patients |
Locations
2513 Dora Ave
Tavares, FL 32778
Phone (352) 508-9552
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1831504471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 DORA AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784977",
"telephone_number": "352-508-9552",
"fax_number": "352-508-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513 DORA AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784977",
"telephone_number": "352-508-9552",
"fax_number": "352-508-9798"
}
],
"practiceLocations": [
{
"address_1": "1326 WN Blvd",
"address_2": "Suite 11",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347483474",
"country_code": "US",
"telephone_number": "352-460-3529",
"fax_number": "352-508-9798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAZIER",
"first_name": "LULA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "233478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LULA",
"last_name": "FRAZIER",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.