CARESOUTH HHA HOLDINGS OF THE SUNSHINE COAST LLC (NPI# 1780637082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780637082 |
| Entity Type | Organization |
| Organization Name | CARESOUTH HHA HOLDINGS OF THE SUNSHINE COAST LLC |
| Other Organization Name | CARESOUTH HOMECARE PROFESSIONALS |
| Practice Address |
5420 Nw 33rd Ave Suite 109 Fort Lauderdale FL 33309-6348 |
| Mailing Address |
Po Box 200 Augusta GA 30903-0200 |
| Practice Telephone | 9544864930 |
| Practice Fax Number | 9544864928 |
| Mailing Telephone | 7068555533 |
| Mailing Fax Number | 7068547382 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | MR. RICK W GRIFFIN (PRES/CEO) |
| Authorized Official Telephone | 7068555533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TAX ID | 651094432 | 01 |
| Other Name | Type Code |
|---|---|
| CareSouth Homecare Professionals | Doing Business As Name - Organization |
| Street Address |
5420 NW 33RD AVE SUITE 109 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720638273 | Andrea Marie Mekulik | Nurse Practitioner | 5420 Nw 33rd Ave, Fort Lauderdale, FL 33309-6348 | 2019-09-17 |
| 1962751784 | Chulou Hitosis Penales | Registered Nurse | 5420 Nw 33rd Ave, Fort Lauderdale, FL 33309-6348 | 2012-09-07 |
| 1194932244 | Douglas W David | Family Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-05-17 |
| 1275758658 | Joel Arthur Coplowitz | Internal Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-04-13 |
| 1225252273 | Jay Bennett Peitzer | Internal Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-04-12 |
| 1821212861 | Paul Louis Rozynes | Internal Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008211 | Gbrown Healtcare Enterprises | Home Health | 300 Se 2nd St Ste 600, Fort Lauderdale, FL 33301-1950 | 2020-09-21 |
| 1932715331 | Mhc Area 10, LLC | Home Health | 2699 Stirling Rd Unit 106, Fort Lauderdale, FL 33312-6517 | 2020-09-21 |
| 1154968865 | Holistic Lifecare Solutions, Inc | Home Health | 1711 Nw 26th Ter, Fort Lauderdale, FL 33311-4425 | 2019-12-02 |
| 1801449749 | American Senior Trust LLC | Home Health | 5129 Nw 30th Ln, Fort Lauderdale, FL 33309-3310 | 2019-07-19 |
| 1124544713 | Tikisha Monroe | Home Health | 2783 Nw 26th St, Fort Lauderdale, FL 33311-2009 | 2017-08-16 |
| 1568909307 | Compassion First Home Health Services LLC | Home Health | 5200 Nw 33rd Ave Ste 201, Fort Lauderdale, FL 33309-6398 | 2017-01-31 |
| 1134661911 | Integrated Health Services of America | Home Health | 601 Se 5th Ct Apt 201, Fort Lauderdale, FL 33301-2943 | 2016-11-10 |
| 1154874931 | Home Care Assistance of Ft. Lauderdale | Home Health | 5975 N Federal Hwy Ste 124, Fort Lauderdale, FL 33308-2685 | 2016-07-28 |
| 1679926588 | J&f Pt Pllc | Home Health | 440 Ne 4th Ave Unit 117, Fort Lauderdale, FL 33301-3445 | 2016-07-15 |
| 1992152516 | Lucille Gottshalk | Home Health | 3071 Sw 2nd St, Fort Lauderdale, FL 33312-1207 | 2016-05-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on CARESOUTH HHA HOLDINGS OF THE SUNSHINE COAST LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.