Organization Active NPI

Cam Enterprises, LLC

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1164745667
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211431 Issued in FL
Legal business name
CAM ENTERPRISES, LLC
Practice address
540 NW University Blvd Ste 206
Port St Lucie, FL 34986-2281
Phone
(772) 465-0500
Fax
(772) 293-9850
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Steven J. McGary
Title
Cfo
Phone
(772) 465-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211431 FL Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

540 NW University Blvd Ste 206
Port St Lucie, FL 34986-2281

Mailing address

540 NW University Blvd Ste 206
Port St Lucie, FL 34986-2281
Phone (772) 465-0500

Other identifiers 1

IdentifierTypeStateIssuer
000788000OtherFLMEDECAID WAIVER

Other names 1

  • Preferred Private Care 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
10D2342828Preferred Private Care LLC540 NW University Blvd #206, Port Saint Lucie, FL 34986Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

Locations

531 S US Highway 1
Ste C
Fort Pierce, FL 34950

2963 W Midway Rd
Fort Pierce, FL 34981

540 NW University Blvd
Ste 206
Port St Lucie, FL 34986
Phone (772) 465-0500

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1164745667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 206",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862281",
            "telephone_number": "772-465-0500",
            "fax_number": "772-293-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 206",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862281",
            "telephone_number": "772-465-0500",
            "fax_number": "772-293-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAM ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MCGARY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "772-465-0500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211431",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDECAID WAIVER",
            "identifier": "000788000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Private Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Private Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.