Organization Active NPI

Safe Harbor Hospice LLC

  • Community Based Hospice Care Agency
  • Fort Myers, FL
National Provider Identifier
1124989330
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAFE HARBOR HOSPICE LLC
Practice address
8191 College Pkwy Ste 206
Fort Myers, FL 33919-5110
Phone
(630) 336-0610
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Christopher Vangel
Title
President
Phone
(630) 336-0610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8191 College Pkwy Ste 206
Fort Myers, FL 33919-5110

Mailing address

8191 College Pkwy Ste 206
Fort Myers, FL 33919-5110
Phone (630) 336-0610

Other names 1

  • Safe Harbor Hospice Care LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2342070Safe Harbor Hospice, LLC8191 College Pkwy Suite 206, Fort Myers, FL 33919Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory

Locations

8191 College Pkwy
Ste 206
Fort Myers, FL 33919
Phone (630) 336-0610

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1124989330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 COLLEGE PKWY STE 206",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195110",
            "telephone_number": "630-336-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 COLLEGE PKWY STE 206",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195110",
            "telephone_number": "630-336-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "VANGEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-336-0610"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Harbor Hospice Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.