Active NPI
Shamy Gaston
- Home Health Agency
- Hollywood, FL
National Provider Identifier
1962001891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 2455 Hollywood Blvd
Hollywood, FL 33020-6605 - Phone
- (954) 932-6166
- NPI assigned
- Oct 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2455 Hollywood Blvd
Hollywood, FL 33020-6605
Mailing address
2455 Hollywood Blvd Ste 110
Hollywood, FL 33020-6605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811841 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hand Home Care LLC | Home Health | Current | Accepting new patients |
Locations
2455 Hollywood Blvd
Ste 110
Hollywood, FL 33020
Phone (786) 663-9790
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1962001891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 HOLLYWOOD BLVD STE 110",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206605",
"telephone_number": "954-932-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTON",
"first_name": "SHAMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811841",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.