Shirley's Personal Care Services of Okeechobee, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30211249 Issued in FL

Legal business name

SHIRLEY'S PERSONAL CARE SERVICES OF OKEECHOBEE, INC.

Doing business as

Shirley's Personal Care Svc Okeechobee

Practice address

200 Southeast Third Street
Okeechobee, FL 34974

Phone

(863) 467-6399

Fax

(863) 467-4087

NPI assigned

Jul 10, 2008

Last updated

Jul 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Sue Johnson

Title

Administrator

Phone

(863) 467-6399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shirley's Personal Care Svc Okeechobee Doing business as

Locations

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1063675981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTHEAST THIRD STREET",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34974",
            "telephone_number": "863-467-6399",
            "fax_number": "863-467-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTHEAST THIRD STREET",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34974",
            "telephone_number": "863-467-6399",
            "fax_number": "863-467-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY'S PERSONAL CARE SERVICES OF OKEECHOBEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-467-6399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690179400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shirley's Personal Care Svc Okeechobee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.