NPIMap

Organization Active NPI

C Gentle Care Agency

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1417596610
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
C GENTLE CARE AGENCY
Practice address
2950 SW Boxwood Cir
Port St Lucie, FL 34953-6967
Phone
(772) 985-1261
NPI assigned
Jan 6, 2020
Last updated
Aug 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Authorized official

Name
Chantel WaltersNPI 1427535285
Title
Owner
Phone
(772) 985-1261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2950 SW Boxwood Cir
Port St Lucie, FL 34953-6967

Mailing address

2950 SW Boxwood Cir
Port St Lucie, FL 34953-6967
Phone (772) 985-1261

Other names 1

  • n/a Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
C Gentle Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691884800000",
    "number": "1417596610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SW BOXWOOD CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536967",
            "telephone_number": "772-985-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SW BOXWOOD CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536967",
            "telephone_number": "772-985-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C GENTLE CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-985-1261"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 13, 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.