Organization Active NPI

Packplus, Inc.

  • In Home Supportive Care Agency
  • North Miami Beach, FL
National Provider Identifier
1962633792
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
229882 Issued in FL
Legal business name
PACKPLUS, INC.
Practice address
633 NE 167TH St
Suite 620
North Miami Beach, FL 33162-2442
Phone
(305) 653-2880
Fax
(305) 653-2881
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mr. Joseph A Obadeyi
Title
President
Phone
(305) 653-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 229882 FL Primary

Addresses

Primary practice location

633 NE 167TH St
Suite 620
North Miami Beach, FL 33162-2442

Mailing address

633 NE 167TH St
Suite 620
North Miami Beach, FL 33162-2442
Phone (305) 653-2880

Other identifiers 3

IdentifierTypeStateIssuer
692117596OtherFLMEDICAID HCBS WAIVER
692060800OtherFLMEDICAID AGING AND DISABLED ADULTS WAIVER
692117598OtherFLMEDICAID FSL WAIVER

Other names 1

  • JOSMAR HOMEMAKER COMPANION Doing business as

National Provider Directory

National Provider Directory

Locations

633 NE 167th St
Ste 620
North Miami Beach, FL 33162
Phone (305) 653-2880

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1962633792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 620",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442",
            "telephone_number": "305-653-2880",
            "fax_number": "305-653-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 620",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442",
            "telephone_number": "305-653-2880",
            "fax_number": "305-653-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKPLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "OBADEYI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-653-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "229882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HCBS WAIVER",
            "identifier": "692117596",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID AGING AND DISABLED ADULTS WAIVER",
            "identifier": "692060800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FSL WAIVER",
            "identifier": "692117598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOSMAR HOMEMAKER COMPANION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.