Individual provider Active NPI

Chanta Ferrell

  • Case Manager/Care Coordinator
  • Windermere, FL
National Provider Identifier
1093213647
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431
Phone
(407) 603-6992
NPI assigned
Jan 29, 2018
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Adult Companion 372600000X NU
Personal Care Attendant 3747P1801X NU
In Home Supportive Care Agency 253Z00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431

Mailing address

PO Box 53811
Irvine, CA 92619-3811
Phone (407) 603-6992

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL avecamourhomecare@gmail.com Direct Avec Amour Homecare LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avec Amour Homecare LLC In Home Supportive Care CurrentSince Apr 3, 2022 Accepting new patients
Moayai Healthcare LLC Case Manager/Care Coordinator CurrentSince Apr 3, 2022 Accepting new patients
Support Services Unlimited, LLC Case Management Past Accepting new patients

Locations

9100 Conroy Windermere Rd
Ste 200
Windermere, FL 34786
Phone (407) 395-2042

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1093213647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53811",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193811",
            "telephone_number": "407-603-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 CONROY WINDERMERE RD STE 200",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868431",
            "telephone_number": "407-603-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "CHANTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "avecamourhomecare@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Avec Amour Homecare LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9100 Conroy Windermere Rd Ste 200",
            "city": "Windermere",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347868431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

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