Organization Active NPI

Medcorp PLC, Inc.

  • Home Health Agency
  • Deerfield Beach, FL
National Provider Identifier
1861612723
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299991937 Issued in FL
Legal business name
MEDCORP PLC, INC.
Doing business as
Medcorp
Practice address
3275 W Hillsboro Blvd
Suite 301
Deerfield Beach, FL 33442-9536
Phone
(866) 213-1817
Fax
(561) 498-4580
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Yveny N Petithomme II, PHD
Title
President Ceo
Phone
(866) 213-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299991937 FL Primary

Addresses

Primary practice location

3275 W Hillsboro Blvd
Suite 301
Deerfield Beach, FL 33442-9536

Mailing address

PO Box 3465
West Palm Beach, FL 33402
Phone (866) 213-1817

Other names 1

  • Medcorp Doing business as

National Provider Directory

National Provider Directory

Locations

2999 NE 191st St
Ste 407
Aventura, FL 33180
Phone (305) 466-9878

3275 W Hillsboro Blvd
Ste 301
Deerfield Beach, FL 33442
Phone (866) 213-1817

2455 E Sunrise Blvd
Ste 209
Ft Lauderdale, FL 33304
Phone (954) 563-5400

1000 W McNab Rd
Ste 111
Pompano Beach, FL 33069
Phone (954) 545-1364

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1861612723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3465",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33402",
            "telephone_number": "866-213-1817",
            "fax_number": "561-498-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD",
            "address_2": "SUITE 301",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429536",
            "telephone_number": "866-213-1817",
            "fax_number": "561-498-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCORP PLC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "PETITHOMME",
        "authorized_official_first_name": "YVENY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "866-213-1817",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcorp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.