CMS-1500 Box 24J / 33a • NPI
1689584070
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332U00000X
Licensed & Credentialed Home Delivered Meals
Box 32 Service Location & ZIP+4
303 N GROVE ST STE 2, EUSTIS, FL, 32726-3456
✓ 9-Digit EDI 837 ZIP+4 (32726-3456)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689584070 (AMETHYST PROFESSIONAL CONSULTING, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689584070 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AMETHYST PROFESSIONAL CONSULTING, LLC |
| Plain-English Specialty | Licensed & Credentialed Home Delivered Meals NUCC Code: 332U00000X (Home Delivered Meals) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 303 N GROVE ST STE 2, EUSTIS, FL, 32726-3456 |
| Practice Telephone / Fax | Tel: (689) 217-2530 |
| Administrative Mailing Address | 3125 WASHINGTON ST, ZELLWOOD, FL, 32798 |
| Enumeration & Last Sync | Enumerated: 2026-09-09 | CMS Record Updated: 2026-09-09 |
| Authorized Official | DERICE WILLIAMS-FAHIE (CEO/Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (332U00000X)
What Does Taxonomy Code 332U00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332U00000X translates to:
"Licensed & Credentialed Home Delivered Meals"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMETHYST PROFESSIONAL CONSULTING, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
174200000X — MealsPlain English: Licensed & Credentialed Meals | State: N/A | License: Verified | Primary: Secondary |
251B00000X — Case ManagementPlain English: Licensed & Credentialed Case Management | State: N/A | License: Verified | Primary: Secondary |
251E00000X — Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: N/A | License: Verified | Primary: Secondary |
251V00000X — Voluntary or CharitablePlain English: Licensed & Credentialed Agencies — Voluntary or Charitable | State: N/A | License: Verified | Primary: Secondary |
253Z00000X — In Home Supportive CarePlain English: Licensed & Credentialed In Home Supportive Care | State: N/A | License: Verified | Primary: Secondary |
332U00000X — Home Delivered MealsPlain English: Licensed & Credentialed Home Delivered Meals | State: N/A | License: Verified | Primary: Yes (Primary) |
343900000X — Non-emergency Medical Transport (VAN)Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN) | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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