Organization Active NPI

SHS SWFL LLC

  • In Home Supportive Care Agency
  • Fort Myers, FL
National Provider Identifier
1245670132
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
232083 Issued in FL
Legal business name
SHS SWFL LLC
Practice address
12995 S Cleveland Ave
Suite 40
Fort Myers, FL 33907-3890
Phone
(239) 243-8555
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Mr. Evan Zelden
Title
Coo, Cfo, Owner
Phone
(239) 243-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 232083 FL Primary

Addresses

Primary practice location

12995 S Cleveland Ave
Suite 40
Fort Myers, FL 33907-3890

Mailing address

12995 S Cleveland Ave
Suite 40
Fort Myers, FL 33907-3890
Phone (239) 243-8555

Other names 1

  • Seniors Helping Senkiors Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seniors Helping Seniors of SW FL LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12995 S Cleveland Ave
Ste 40
Fort Myers, FL 33907
Phone (239) 243-8555

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1245670132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE",
            "address_2": "SUITE 40",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073890",
            "telephone_number": "239-243-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE",
            "address_2": "SUITE 40",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073890",
            "telephone_number": "239-243-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHS SWFL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "ZELDEN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "COO, CFO, OWNER",
        "authorized_official_telephone_number": "239-243-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "232083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniors Helping Senkiors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

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