Family Tyme LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY TYME LLC

Practice address

960 Oakwood Rd
Orange City, FL 32763-5028

Phone

(386) 218-0402

Fax

(386) 456-4974

NPI assigned

Dec 31, 2019

Organization subpart

No

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

Authorized official

Name

Perry Lee DavisNPI 1427602010

Title

Cfo/Owner

Phone

(386) 320-2467

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Preferred Care at Home of West Volusia Doing business as

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Perry Lee Davis

  • Homemaker
  • Orange City, FL
  • NPI 1427602010
  NPD Authorized official

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1871132373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 OAKWOOD RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635028",
            "telephone_number": "386-218-0402",
            "fax_number": "386-456-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 OAKWOOD RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635028",
            "telephone_number": "386-218-0402",
            "fax_number": "386-456-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TYME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "386-320-2467"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102581600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Claimsubmition",
            "affiliation": "N",
            "endpointDescription": "Insuranceclaimsubmition",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "960 Oakwood Rd",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327635028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Claimsubmition",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "960 Oakwood Rd",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327635028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Preferred Care at Home of West Volusia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Care at Home of West Volusia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Fabrikant, D.O.
• Facial & Oral Surgical Solutions, PLLC
• Marianne Rita Falasco, ARNP-BC,
• Family Medical Equipment & Supply, Inc.
• Family Practice of West Volusia Inc
• Barbara L. Fare, M.D.
• Stephanie Farina
• Seema Fatima, DPM
• Alex Favelukes, MD
• Kristina Felix, MSN, WHNP-BC, APRN

• In Home Supportive Care Agency in Orange City, FL
• Providers in Orange City, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.