Active NPI
Cicily Health Care Services
Doing business as Cicily Cares
- Home Health Agency
- Port St Lucie, FL
National Provider Identifier
1407403975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.