Autumn Home Care of Palm Coast Florida, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993373 Issued in FL

Legal business name

AUTUMN HOME CARE OF PALM COAST FLORIDA, LLC

Practice address

400 Toney Penna Dr
Ste. C-1
Jupiter, FL 33458-5793

Phone

(561) 575-5858

Fax

(561) 575-5853

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Patrick Ambrose, CPA

Title

Owner

Phone

(727) 398-4467

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1871747873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10773 70TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726302",
            "telephone_number": "727-398-4467",
            "fax_number": "727-399-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TONEY PENNA DR",
            "address_2": "STE. C-1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585793",
            "telephone_number": "561-575-5858",
            "fax_number": "561-575-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HOME CARE OF PALM COAST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-398-4467",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.