Home Away From Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11913 Issued in FL

Legal business name

HOME AWAY FROM HOME

Practice address

324 Lyman PL
West Palm Beach, FL 33409-3651

Phone

(561) 719-9138

Fax

(561) 682-1209

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Trinetta C. Taylor

Title

Owner/Administrator

Phone

(561) 719-9138

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1972906063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LYMAN PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093651",
            "telephone_number": "561-719-9138",
            "fax_number": "561-682-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LYMAN PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093651",
            "telephone_number": "561-719-9138",
            "fax_number": "561-682-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TRINETTA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-719-9138"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141935800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Holmstrom
• Juanita Annelise Holt
• Robert L Holt, D.M.D.
• Holy Adult Family Care Home
• Holy Adult Family Care Home, LLC
• Home Diagnostics on Wheels
• Home Health Care Resources Corp
• Home Health Services of Southeast Florida LLC (Urgent Home Care)
• Home Health Services of the Palm Beaches Inc
• Home Is Where the Heart Is, Inc.

• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Assisted Living Facility in Florida

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