South Florida Home Modification LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

SOUTH FLORIDA HOME MODIFICATION LLC

Practice address

931 Village Blvd Ste 905-417
West Palm Beach, FL 33409-1803

Phone

(561) 660-4480

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Jean Russo

Title

MGR/Member

Phone

(561) 660-4480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1962998021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 VILLAGE BLVD STE 905-417",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091803",
            "telephone_number": "561-660-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 VILLAGE BLVD STE 905-417",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091803",
            "telephone_number": "561-660-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA HOME MODIFICATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MGR/MEMBER",
        "authorized_official_telephone_number": "561-660-4480"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.