Organization Active NPI

Affordable Home Care LLC

  • In Home Supportive Care Agency
  • Fort Myers, FL
National Provider Identifier
1144093717
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AFFORDABLE HOME CARE LLC
Practice address
15050 Elderberry LN
Fort Myers, FL 33907-8504
Phone
(239) 228-8043
Fax
(877) 926-7117
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Jimi WilliamceauNPI 1902631948
Title
President
Phone
(239) 537-1260

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15050 Elderberry LN
Fort Myers, FL 33907-8504

Mailing address

15050 Elderberry LN
Fort Myers, FL 33907-8504
Phone (239) 228-8043

Other names 1

  • HomeWell care services Doing business as

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1144093717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-228-8043",
            "fax_number": "877-926-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-228-8043",
            "fax_number": "877-926-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMCEAU",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-537-1260"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell care services",
            "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 Feb 21, 2024; 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.