NPIMap

Organization Active NPI

Health Care Services LC

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1447290259
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH CARE SERVICES LC
Practice address
931 SE Ocean Blvd
Suite a
Stuart, FL 34994-1335
Phone
(772) 288-6300
Fax
(772) 288-6374
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Nick Elliott
Title
President
Phone
(772) 530-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

931 SE Ocean Blvd
Suite a
Stuart, FL 34994-1335

Mailing address

PO Box 746
Stuart, FL 34995-1335
Phone (772) 288-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425001159 FL Part B Supplier - Clinic/Group Practice 6305885823 Receives reassigned benefits from 10 practitioners
Practice locations: Port St Lucie, FL; Stuart, FL

National Provider Directory

National Provider Directory

Locations

506 SW Federal Hwy
Stuart, FL 34994
Phone (754) 422-9272

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1447290259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349951335",
            "telephone_number": "772-288-6300",
            "fax_number": "772-288-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SE OCEAN BLVD",
            "address_2": "SUITE A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941335",
            "telephone_number": "772-288-6300",
            "fax_number": "772-288-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE SERVICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-530-5000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.