Organization Active NPI

El Shaddai Care Community

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lehigh Acres, FL
National Provider Identifier
1083583009
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EL SHADDAI CARE COMMUNITY
Practice address
4204 6TH St W
Lehigh Acres, FL 33971-1218
Phone
(239) 810-1879
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Channedieuline GabelusNPI 1518785419
Title
Ceo
Phone
(239) 851-5397

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4204 6TH St W
Lehigh Acres, FL 33971-1218

Mailing address

4204 6TH St W
Lehigh Acres, FL 33971-1218
Phone (239) 810-1879

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1083583009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 6TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711218",
            "telephone_number": "239-810-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 6TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711218",
            "telephone_number": "239-810-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDAI CARE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "GABELUS",
        "authorized_official_first_name": "CHANNEDIEULINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-851-5397"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.