Organization Active NPI

Dial-a-Nurse of Ft Myers Registry, Inc.

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1255507562
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211116 Issued in FL
Legal business name
DIAL-A-NURSE OF FT MYERS REGISTRY, INC.
Practice address
Dial-a-Nurse of Fort Myers Registry, Inc.
2180 W. First St. Ste. 510
Fort Myers, FL 33901
Phone
(239) 939-1228
NPI assigned
May 6, 2008
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Mr. Theodore J. Wolfendale, J.D.
Title
Owner
Phone
(239) 939-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211116 FL Primary

Addresses

Primary practice location

Dial-a-Nurse of Fort Myers Registry, Inc.
2180 W. First St. Ste. 510
Fort Myers, FL 33901

Mailing address

Dial-a-Nurse of Fort Myers Registry, Inc.
2180 W. First St. Ste. 510
Fort Myers, FL 33901

Other identifiers 2

IdentifierTypeStateIssuer
30211116OtherFLAHCA
678475500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Dial-a-Nurse of Ft Myers Registry Inc2 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

2180 W First St
Ste 510
Fort Myers, FL 33901
Phone (239) 939-1228

3949 Evans Ave
Ste 303
Fort Myers, FL 33901

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1255507562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DIAL-A-NURSE OF FORT MYERS REGISTRY, INC.",
            "address_2": "2180 W. FIRST ST. STE. 510",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIAL-A-NURSE OF FORT MYERS REGISTRY, INC.",
            "address_2": "2180 W. FIRST ST. STE. 510",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-939-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAL-A-NURSE OF FT MYERS REGISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "WOLFENDALE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-939-1228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30211116",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678475500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 12, 2020; 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.