Organization Active NPI

Fraternity Health Services, Inc

  • Home Health Agency
  • Palmetto Bay, FL
National Provider Identifier
1891561494
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRATERNITY HEALTH SERVICES, INC
Practice address
14707 S Dixie Hwy Ste 402B
Palmetto Bay, FL 33176-7954
Phone
(305) 850-0508
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Ignacio M Plasencia
Title
Owner
Phone
(305) 850-0508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14707 S Dixie Hwy Ste 402B
Palmetto Bay, FL 33176-7954

Mailing address

14707 S Dixie Hwy Ste 402B
Palmetto Bay, FL 33176-7954
Phone (305) 850-0508

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2338619Fraternity Health Services, Inc14707 South Dixie Highway, Suite 402B, Palmetto Bay, FL 33176Certificate of waiverFeb 12, 2028

National Provider Directory

National Provider Directory

Locations

14707 S Dixie Hwy
Ste 402B
Palmetto Bay, FL 33176
Phone (305) 850-0508

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1891561494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 S DIXIE HWY STE 402B",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767954",
            "telephone_number": "305-850-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 S DIXIE HWY STE 402B",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767954",
            "telephone_number": "305-850-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRATERNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-850-0508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.