Organization Active NPI

CLC Investments Group Corp

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1336719079
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLC INVESTMENTS GROUP CORP
Practice address
17595 S Tamiami TRL Ste 112
Fort Myers, FL 33908-4571
Phone
(239) 990-2935
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Lucia S Robelo
Title
Owner
Phone
(305) 972-3773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

17595 S Tamiami TRL Ste 112
Fort Myers, FL 33908-4571

Mailing address

17595 S Tamiami TRL Ste 112
Fort Myers, FL 33908-4571
Phone (305) 972-3773

Other identifiers 1

IdentifierTypeStateIssuer
116895800MedicaidFL

Other names 1

  • Synergy Homecare Fort Myers Beach Doing business as

National Provider Directory

National Provider Directory

Locations

17595 S Tamiami Trl
Ste 112
Fort Myers, FL 33908
Phone (239) 990-2935

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1336719079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 112",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084571",
            "telephone_number": "305-972-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 112",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084571",
            "telephone_number": "239-990-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLC INVESTMENTS GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ROBELO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-972-3773"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116895800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Homecare Fort Myers Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy Homecare Fort Myers Beach",
            "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 12, 2024; 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.