Active NPI
Sheila Mourick
- Home Health Agency
- Bonita Springs, FL
National Provider Identifier
1255803706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3920 Via del Ray
Suite 4
Bonita Springs, FL 34134 - Phone
- (239) 776-1822
- NPI assigned
- Dec 21, 2018
- Last updated
- Feb 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | FL | Primary |
Addresses
Primary practice location
3920 Via del Ray
Suite 4
Bonita Springs, FL 34134
Mailing address
25315 Papillion Dr
Bonita Springs, FL 34135-8848
Phone (239) 776-1822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-2853673 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kynder Home Health Agency | Home Health | Current | Accepting new patients |
Locations
3920 Via del Rey
Ste 4
Bonita Springs, FL 34134
Phone (239) 676-0587
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1255803706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25315 PAPILLION DR",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341358848",
"telephone_number": "239-776-1822",
"fax_number": "239-236-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 VIA DEL RAY",
"address_2": "SUITE 4",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "34134",
"telephone_number": "239-776-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURICK",
"first_name": "SHEILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-2853673",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.