Port Charlotte Hma LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PORT CHARLOTTE HMA LLC

Doing business as

Peace River Home Health Service

Practice address

15121 Tamiami TRL
North Port, FL 34287-2711

Phone

(941) 423-5183

Fax

(941) 423-5184

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Laurie J Holtsford

Title

Authorized Official

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peace River Home Health Service Doing business as

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1932146776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872711",
            "telephone_number": "941-423-5183",
            "fax_number": "941-423-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872711",
            "telephone_number": "941-423-5183",
            "fax_number": "941-423-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CHARLOTTE HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  HHA",
            "identifier": "H8P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace River Home Health Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Suzanne Plantz, BCBA
• Maria Anne Poirier
• Julie Pollard
• Emily Ponomarenko
• Laurie Lynne Pope, M.S. CCC-SLP
• Port Charlotte Hma LLC (Peace River North Port Health Park)
• Port Charlotte Hma Physician Management LLC (Comprehensive Women's Healthcare)
• Port Charlotte Hma Physician Management LLC
• Yanexis Portilla
• Ever L Presutti, PTA

• Home Health Agency in North Port, FL
• Providers in North Port, 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 Jan 29, 2014; 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.