Seminole Support Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

229055 Issued in FL

Legal business name

SEMINOLE SUPPORT SERVICES

Practice address

504 S Sanford Ave
Sanford, FL 32771-1973

Phone

(407) 328-9976

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Robin Stallworth

Title

Owner

Phone

(407) 328-9976

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1164866711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S SANFORD AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711973",
            "telephone_number": "407-328-9976",
            "fax_number": "407-328-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S SANFORD AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711973",
            "telephone_number": "407-328-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-328-9976",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "229055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003951900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seminole County Sheriff'S Office
• Seminole Emergency Group LLC
• Seminole Eye Care LLC
• Seminole Health Care LLC
• Seminole Neurology Associates PA
• Senior Sidekicks of Central Florida LLC
• Leidee Karenna Senors, M.D.
• Jacqueline Seoane, MD
• Serene Minds Wellness LLC
• Erica H Serito

• Home Health Agency in Sanford, FL
• Providers in Sanford, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.