Organization Active NPI

Fort Myers Nursing Agency

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1093136509
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991096 Issued in FL
Legal business name
FORT MYERS NURSING AGENCY
Practice address
11220 Metro Pkwy
Suite 19
Fort Myers, FL 33966-1264
Phone
(239) 277-1168
Fax
(239) 277-1201
NPI assigned
Dec 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Jacqueline Marie Pampinella
Title
Administrator
Phone
(239) 277-1168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991096 FL Primary

Addresses

Primary practice location

11220 Metro Pkwy
Suite 19
Fort Myers, FL 33966-1264

Mailing address

11220 Metro Pkwy
Suite 19
Fort Myers, FL 33966-1264
Phone (239) 277-1168

National Provider Directory

National Provider Directory

Locations

11220 Metro Pkwy
Ste 19
Fort Myers, FL 33966
Phone (239) 277-1168

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1093136509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 METRO PKWY",
            "address_2": "SUITE 19",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661264",
            "telephone_number": "239-277-1168",
            "fax_number": "239-277-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 METRO PKWY",
            "address_2": "SUITE 19",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661264",
            "telephone_number": "239-277-1168",
            "fax_number": "239-277-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS NURSING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "PAMPINELLA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-277-1168"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991096",
            "primary": true
        }
    ],
    "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 Dec 31, 2013; 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.