Organization Active NPI

Community Resource Network of Florida, LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1417740242
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC
Practice address
12751 World Plaza LN # 85
Fort Myers, FL 33907-3989
Phone
(239) 415-7400
Fax
(239) 689-9122
NPI assigned
May 24, 2025
Last updated
May 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Lisa Jerome
Title
Director of Operations
Phone
(239) 247-2041

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Home Health Aide 374U00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

12751 World Plaza LN # 85
Fort Myers, FL 33907-3989

Mailing address

12751 World Plaza LN # 85
Fort Myers, FL 33907-3989
Phone (239) 415-7400

National Provider Directory

National Provider Directory
Tax ID family
Community Resource Network of Florida LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1417740242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 WORLD PLAZA LN # 85",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073989",
            "telephone_number": "239-415-7400",
            "fax_number": "239-689-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 WORLD PLAZA LN # 85",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073989",
            "telephone_number": "239-415-7400",
            "fax_number": "239-689-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "239-247-2041"
    },
    "taxonomies": [
        {
            "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": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "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": []
}

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 May 24, 2025; 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.