Overwatch Investments

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OVERWATCH INVESTMENTS

Practice address

4503 Woodbine Road
Pace, FL 32571

Phone

(850) 889-4642

Fax

(844) 222-3658

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Theodore Christopher Jongko

Title

Owner/Director

Phone

(850) 889-4642

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels of Pace and Milton Doing business as

Locations

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922529957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718706",
            "telephone_number": "850-889-4642",
            "fax_number": "844-222-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 WOODBINE ROAD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "32571",
            "telephone_number": "850-889-4642",
            "fax_number": "844-222-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERWATCH INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "JONGKO",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "850-889-4642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994662",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Pace and Milton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels of Pace and Milton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Pace, FL
• Providers in Pace, 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 Jul 21, 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.