Organization Active NPI

Shell'S in Home Care,LLC

  • Home Health Agency
  • Vero Beach, FL
National Provider Identifier
1295157584
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHELL'S IN HOME CARE,LLC
Practice address
1110 19TH Ave SW
Vero Beach, FL 32962-5305
Phone
(772) 584-6716
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Ms. Michelle Anderson
Title
Owner
Phone
(772) 584-6716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1110 19TH Ave SW
Vero Beach, FL 32962-5305

Mailing address

1110 19TH Ave SW
Vero Beach, FL 32962-5305
Phone (772) 584-6716

Other identifiers 1

IdentifierTypeStateIssuer
004302801MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1295157584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 19TH AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329625305",
            "telephone_number": "772-584-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 19TH AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329625305",
            "telephone_number": "772-584-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELL'S IN HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-584-6716",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004302801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.