Organization Active NPI

Cicily Health Care Services

Doing business as Cicily Cares

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1407403975
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CICILY HEALTH CARE SERVICES
Doing business as
Cicily Cares
Practice address
2658 SW Brigantine PL
Port St Lucie, FL 34953-4319
Phone
(772) 446-4510
Fax
(772) 902-8277
NPI assigned
Aug 20, 2019
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Carol Taylor-Moore
Title
Ceo
Phone
(772) 446-4510

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Private Vehicle 347C00000X NU
Respite Care 385H00000X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Child Physical Disabilities Respite Care 385HR2065X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

2658 SW Brigantine PL
Port St Lucie, FL 34953-4319

Mailing address

2658 SW Brigantine PL
Port St Lucie, FL 34953-4319
Phone (772) 446-4510

Other names 1

  • Cicily Cares Doing business as

National Provider Directory

National Provider Directory

Locations

2658 SW Brigantine Pl
Port St Lucie, FL 34953
Phone (772) 446-4510

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1407403975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 SW BRIGANTINE PL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534319",
            "telephone_number": "772-446-4510",
            "fax_number": "772-800-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 SW BRIGANTINE PL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534319",
            "telephone_number": "772-446-4510",
            "fax_number": "772-902-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CICILY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-MOORE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-446-4510"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cicily Cares",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.