Organization Active NPI

Gifted Elderly Care Inc

  • Home Health Agency
  • Cocoa, FL
National Provider Identifier
1194332684
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GIFTED ELDERLY CARE INC
Practice address
1314 Clearlake Rd Ste 1
Cocoa, FL 32922-6451
Phone
(321) 458-6842
Fax
(877) 389-8827
NPI assigned
Sep 28, 2020
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Ms. Alphasico McDuffie, CNA
Title
Owner Admin
Phone
(321) 458-6852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1314 Clearlake Rd Ste 1
Cocoa, FL 32922-6451

Mailing address

1314 Clearlake Rd Ste 1
Cocoa, FL 32922-6451
Phone (321) 458-6842

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Giftedelderlycare@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

1314 Clearlake Rd
Ste 1
Cocoa, FL 32922
Phone (321) 458-6842

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1194332684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CLEARLAKE RD STE 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226451",
            "telephone_number": "321-458-6842",
            "fax_number": "877-389-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CLEARLAKE RD STE 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226451",
            "telephone_number": "321-458-6842",
            "fax_number": "877-389-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED ELDERLY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "MCDUFFIE",
        "authorized_official_first_name": "ALPHASICO",
        "authorized_official_title_or_position": "OWNER ADMIN",
        "authorized_official_telephone_number": "321-458-6852",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Giftedelderlycare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1314 Clearlake Rd Ste 1",
            "city": "Cocoa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329226451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.