Organization Active NPI

Neville Ngabe LLC

  • In Home Supportive Care Agency
  • Fort Myers, FL
National Provider Identifier
1033891759
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEVILLE NGABE LLC
Practice address
10140 Via Colomba Cir
Fort Myers, FL 33966-6549
Phone
(417) 297-5142
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Neville Ngabe, RN
Title
Ceo
Phone
(417) 297-5142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Assisted Living Facility 310400000X

Addresses

Primary practice location

10140 Via Colomba Cir
Fort Myers, FL 33966-6549

Mailing address

407 E Ayre St # 1162
Wilmington, DE 19804-2512
Phone (417) 297-5142

National Provider Directory

National Provider Directory

Locations

407 E Ayre St
#1162
Wilmington, DE 19804

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1033891759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E AYRE ST # 1162",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042512",
            "telephone_number": "417-297-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 VIA COLOMBA CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666549",
            "telephone_number": "417-297-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVILLE NGABE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "NGABE",
        "authorized_official_first_name": "NEVILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-297-5142",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.