FAMILY PRIVATE CARE INC (NPI# 1881012102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881012102 |
| Entity Type | Organization |
| Organization Name | FAMILY PRIVATE CARE INC |
| Other Organization Name | SONAS HOME HEALTH |
| Practice Address |
635 S Wickham Rd Ste 202 Melbourne FL 32904-1436 |
| Practice Telephone | 3214419999 |
| Practice Fax Number | 3216845203 |
| Mailing Telephone | 3214419999 |
| Mailing Fax Number | 3216845203 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | KIMBERLY MICHELLE CONRAD (DIRECTOR OF CONTRACT DEVELOPMENT) |
| Authorized Official Telephone | 8139858800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 30211690 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AHCA LICENSE | 30211690 | 01 |
| FL | 015941600 | 05 |
| Other Name | Type Code |
|---|---|
| Sonas Home Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2210 Front Street, Ste 202, Melbourne, FL 32901 | 3214419999 | 3216845203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295153658 | Family Private Care Inc | Home Health | 3060 Alternate Us 19, Suite B-15, Palm Harbor, FL 34683 | 2014-04-02 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1104184340 | Family Private Care Inc | In Home Supportive Care | 8900 Se Robwyn St., Hobe Sound, FL 33455 | 2012-04-25 |
| 1689020885 | Family Private Care Inc | Home Health | 8333 Nw 53rd St Ste 450, Doral, FL 33166-4837 | 2016-05-06 |
| 1699135210 | Family Private Care Inc | Home Health | 1451 W Cypress Creek Rd Ste 300, Fort Lauderdale, FL 33309 | 2016-02-24 |
| 1891966891 | Family Private Care Inc | In Home Supportive Care | 10320 N 56th St, Suite 310, Temple Terrace, FL 33617 | 2008-03-18 |
| Street Address |
635 S WICKHAM RD STE 202 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659730570 | Ambassador Health Services Inc | In Home Supportive Care | 635 S Wickham Rd Ste 202, Melbourne, FL 32904-1436 | 2016-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1497366181 | Julia Nicholson | Home Health | 1308 Baker Dr, Melbourne, FL 32901-8002 | 2020-08-14 |
| 1396356119 | Vna Space Coast Private Care, Inc | Home Health | 1600 Sarno Rd Ste 201, Melbourne, FL 32935-4990 | 2020-08-14 |
| 1184183022 | Ajl Nursing Services, LLC | Home Health | 924 Garfield St, Melbourne, FL 32935-4065 | 2019-03-19 |
| 1619493285 | Grayson Hausman | Home Health | 3270 Suntree Blvd Ste 102d, Melbourne, FL 32940-7540 | 2017-08-16 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1609228717 | Kah Development 4, LLC | Home Health | 14 Arnold Springs Rd, Suite C, Melbourne, AR 72556-8248 | 2016-07-13 |
| 1447611173 | Dynamiks Home Care Inc | Home Health | 4501 N Wickham Rd Ste 104, Melbourne, FL 32935-7100 | 2016-03-08 |
| 1942608237 | Cshha North Florida, LLC | Home Health | 1370 Sarno Road, Suite C, Melbourne, FL 32935 | 2014-12-18 |
| 1073921284 | Oahu Home Care LLC | Home Health | 2401 W Eau Gallie Blvd Ste 6, Melbourne, FL 32935-2765 | 2014-07-31 |
| 1831433564 | Jjl Healthcare Services | Home Health | 2010 W. Eau Gallie Blvd., Suite 101, Melbourne, FL 32935-3114 | 2012-11-19 |
| Find all providers in MELBOURNE | ||||
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| 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.