NPIMap

Organization Active NPI

Tida Excellent Home Care Journey Inc

  • Developmental Disabilities Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1861069494
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
TIDA EXCELLENT HOME CARE JOURNEY INC
Practice address
9818 Arbor Oaks LN Apt 101
Boca Raton, FL 33428-2241
Phone
(860) 908-3593
NPI assigned
Jun 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Ms. Stephanie JeantyNPI 1871300152
Title
Owner
Phone
(860) 908-3593

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

9818 Arbor Oaks LN Apt 101
Boca Raton, FL 33428-2241

Mailing address

9818 Arbor Oaks LN Apt 101
Boca Raton, FL 33428-2241
Phone (860) 908-3593

National Provider Directory

National Provider Directory

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": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1861069494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 ARBOR OAKS LN APT 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282241",
            "telephone_number": "860-908-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9818 ARBOR OAKS LN APT 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282241",
            "telephone_number": "860-908-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDA EXCELLENT HOME CARE JOURNEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "JEANTY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-908-3593",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.