Organization Active NPI

A.H. of Monroe County, Inc.

  • Case Management Agency
  • Key West, FL
National Provider Identifier
1922288950
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
687670600 Issued in FL
Legal business name
A.H. OF MONROE COUNTY, INC.
Practice address
1434 Kennedy Dr
Key West, FL 33040-4008
Phone
(305) 296-6196
Fax
(305) 296-6337
NPI assigned
Nov 7, 2007
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mr. Eugene S. Pridgen
Title
Executive Director
Phone
(305) 296-6196

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 687670600 FL Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

1434 Kennedy Dr
Key West, FL 33040-4008

Mailing address

PO Box 4374
Key West, FL 33041-4374
Phone (305) 296-6196

Other identifiers 2

IdentifierTypeStateIssuer
080850400MedicaidFL
687670600OtherFLMEDICAID PROVIDER NUMBER

Other names 1

  • AIDS Help, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ah of Monroe County Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1434 Kennedy Dr
Key West, FL 33040
Phone (305) 293-4803

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1922288950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4374",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330414374",
            "telephone_number": "305-296-6196",
            "fax_number": "305-296-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 KENNEDY DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404008",
            "telephone_number": "305-296-6196",
            "fax_number": "305-296-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.H. OF MONROE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-296-6196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "687670600",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080850400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "687670600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIDS Help, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.