NPIMap

Organization Active NPI

Contractors Group

Doing business as Autism Home Healt hMoms

  • Case Manager/Care Coordinator
  • Port Saint Lucie, FL
National Provider Identifier
1053823252
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CONTRACTORS GROUP
Doing business as
Autism Home Healt hMoms
Practice address
926 SE Belfast Ave
Port Saint Lucie, FL 34983-3914
Phone
(772) 924-5773
Fax
(772) 264-7865
NPI assigned
Oct 27, 2017
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
G17000115761As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Ms. Jillian RicardNPI 1366953952
Title
Owner
Phone
(772) 924-5773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Case Manager/Care Coordinator 171M00000X FL Primary

Addresses

Primary practice location

926 SE Belfast Ave
Port Saint Lucie, FL 34983-3914

Mailing address

926 SE Belfast Ave
Port Saint Lucie, FL 34983-3914
Phone (772) 924-5773

Other identifiers 1

IdentifierTypeStateIssuer
688745MedicaidFL

Other names 1

  • Autism Home Healt hMoms Doing business as

National Provider Directory

National Provider Directory
Part of
Contractors Group

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1053823252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 SE BELFAST AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833914",
            "telephone_number": "772-924-5773",
            "fax_number": "772-264-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 SE BELFAST AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833914",
            "telephone_number": "772-924-5773",
            "fax_number": "772-264-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRACTORS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G17000115761",
        "enumeration_date": "2017-10-27",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "RICARD",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-924-5773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688745",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Home Healt hMoms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.