NPIMap

Organization Active NPI

Housecall Home Health, L.L.C.

  • Home Health Agency
  • Orange Park, FL
National Provider Identifier
1912136292
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992914 Issued in FL
Legal business name
HOUSECALL HOME HEALTH, L.L.C.
Practice address
2300 Park Ave
Suite 102
Orange Park, FL 32073-5571
Phone
(904) 278-5217
Fax
(904) 278-5463
NPI assigned
Jul 8, 2009
Organization subpart
Yes
Parent organization
HOUSECALL HOME HEALTH, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Mr. William Borne
Title
Ceo
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992914 FL Primary

Addresses

Primary practice location

2300 Park Ave
Suite 102
Orange Park, FL 32073-5571

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
650175301MedicaidFL

Other names 1

  • Amedisys Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Housecall Home Health Inc23 organizations share this tax ID, including this one
Part of
Housecall Home Health Inc

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1912136292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PARK AVE",
            "address_2": "SUITE 102",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735571",
            "telephone_number": "904-278-5217",
            "fax_number": "904-278-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALL HOME HEALTH, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSECALL HOME HEALTH, L.L.C.",
        "enumeration_date": "2009-07-08",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650175301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.