Organization Active NPI

Selfless Care LLC

  • In Home Supportive Care Agency
  • Palm Bay, FL
National Provider Identifier
1326522095
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SELFLESS CARE LLC
Practice address
3081 Eldron Blvd SE
Palm Bay, FL 32909-6306
Phone
(321) 693-6012
NPI assigned
Sep 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Jennifer Marrero
Title
Manager
Phone
(321) 693-6012

Specialties & licenses 1

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

Addresses

Primary practice location

3081 Eldron Blvd SE
Palm Bay, FL 32909-6306

Mailing address

3081 Eldron Blvd SE
Palm Bay, FL 32909-6306

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1326522095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 ELDRON BLVD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 ELDRON BLVD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096306",
            "telephone_number": "321-693-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFLESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-693-6012"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.