Organization Active NPI

SHC Home Health Services - Port Charlotte, LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1366870628
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHC HOME HEALTH SERVICES - PORT CHARLOTTE, LLC
Practice address
13410 Parker Commons Blvd Ste 105
Fort Myers, FL 33912-1867
Phone
(239) 274-9124
Fax
(941) 629-1215
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
John Harrison
Title
Cfo
Phone
(502) 568-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13410 Parker Commons Blvd Ste 105
Fort Myers, FL 33912-1867

Mailing address

13410 Parker Commons Blvd Ste 105
Fort Myers, FL 33912-1867
Phone (239) 274-9124

Other names 1

  • Signature HomeNow Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1366870628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 PARKER COMMONS BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121867",
            "telephone_number": "239-274-9124",
            "fax_number": "941-629-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 PARKER COMMONS BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121867",
            "telephone_number": "239-274-9124",
            "fax_number": "941-629-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC HOME HEALTH SERVICES - PORT CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HomeNow",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HomeNow",
            "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 Dec 8, 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.