Awilda Theodore

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Practice address

1601 Belvedere Rd Ste 300E
West Palm Beach, FL 33406-1554

Phone

(561) 507-1601

Fax

(561) 214-6139

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kingdom Companion Nurse Registry

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1184459323
  NPD Authorized official

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1992297634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BELVEDERE RD STE 300E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334061554",
            "telephone_number": "561-507-1601",
            "fax_number": "561-214-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BELVEDERE RD STE 300E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334061554",
            "telephone_number": "561-507-1601",
            "fax_number": "561-214-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "AWILDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30212801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTRY LICENSED",
            "identifier": "30212801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC",
            "identifier": "L24000107190",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swie H The, MD
• Ben Thebaut, M.D.
• Anu Thekkumkattil, MD
• Wilner Thelemaque
• Mario Theliard, M.D.
• Rod Theodore
• Therapeutic Health Services, LLC
• Therapeutic Services of the Palm Bea
• Therapist to You Inc
• Therapy of the Palm Beaches Inc

• Home Infusion Agency in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Home Infusion Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.