Active NPI
Cam Enterprises, LLC
- Home Health Agency
- Port St Lucie, FL
National Provider Identifier
1164745667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211431
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000788000 | Other | FL | MEDECAID WAIVER |
Other names 1
- Preferred Private Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2342828 | Preferred Private Care LLC | Certificate of waiver | Apr 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.