Organization Active NPI

Sandton Enterprises

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1225579378
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
234695 Issued in FL
Legal business name
SANDTON ENTERPRISES
Practice address
10539 Parkcrest Dr
Tampa, FL 33624-5023
Phone
(813) 506-3137
Fax
(813) 699-8307
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
John Ngerem
Title
Ceo
Phone
(813) 506-3137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 234695 FL Primary

Addresses

Primary practice location

10539 Parkcrest Dr
Tampa, FL 33624-5023

Mailing address

10539 Parkcrest Dr
Tampa, FL 33624-5023
Phone (813) 506-3137

Other identifiers 1

IdentifierTypeStateIssuer
690976196MedicaidFL

National Provider Directory

National Provider Directory

Locations

28W530 Batavia Rd
Ste 1A
Warrenville, IL 60555

10 Saravanos Rd
Yorkville, IL 60560
Phone (630) 553-8444

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1225579378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10539 PARKCREST DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245023",
            "telephone_number": "813-506-3137",
            "fax_number": "813-699-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10539 PARKCREST DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245023",
            "telephone_number": "813-506-3137",
            "fax_number": "813-699-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDTON ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "NGEREM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-506-3137"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690976196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.