Active NPI
Chanta Ferrell
- Case Manager/Care Coordinator
- Windermere, FL
National Provider Identifier
1093213647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avec Amour Homecare LLC | In Home Supportive Care | Current | Accepting new patients |
| Moayai Healthcare LLC | Case Manager/Care Coordinator | Current | 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.
-
- In Home Supportive Care Agency
- Windermere, FL
- NPI 1184364804
-
- Home Health Agency
- Windermere, FL
- NPI 1316687031
Case Manager/Care Coordinator
-
- Developmental Disabilities Clinic/Center
- Riverview, FL
- NPI 1740780436
Case Management
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.