Organization Active NPI

Elite Medical Prep Academy

  • In Home Supportive Care Agency
  • Cape Coral, FL
National Provider Identifier
1407553472
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELITE MEDICAL PREP ACADEMY
Practice address
3609 SW 12TH Ave
Cape Coral, FL 33914-5104
Phone
(239) 994-8574
NPI assigned
Feb 10, 2023
Organization subpart
Yes
Parent organization
L22000206405As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Ms. Dayna Simpson
Title
Operations Manger
Phone
(239) 994-8574

Specialties & licenses 1

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

Addresses

Primary practice location

3609 SW 12TH Ave
Cape Coral, FL 33914-5104

Mailing address

3609 SW 12TH Ave
Cape Coral, FL 33914-5104
Phone (239) 994-8574

Other names 1

  • ELITE CAREGIVER SERVICES Doing business as

National Provider Directory

National Provider Directory
Part of
Elite Medical Prep Academy

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1407553472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 SW 12TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145104",
            "telephone_number": "239-994-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 SW 12TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145104",
            "telephone_number": "239-994-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL PREP ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "L22000206405",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "OPERATIONS MANGER",
        "authorized_official_telephone_number": "239-994-8574",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE CAREGIVER SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.