Organization Active NPI

Charismatic Relentless Care LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Saint Lucie, FL
National Provider Identifier
1538776695
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
CHARISMATIC RELENTLESS CARE LLC
Practice address
5933 NW Brenda Cir
Port Saint Lucie, FL 34986-3637
Phone
(772) 528-0393
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Cynthia Collins
Title
Owner
Phone
(772) 528-0358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

5933 NW Brenda Cir
Port Saint Lucie, FL 34986-3637

Mailing address

PO Box 7191
Port Saint Lucie, FL 34985-7191
Phone (772) 528-0358

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1538776695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7191",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349857191",
            "telephone_number": "772-528-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 NW BRENDA CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863637",
            "telephone_number": "772-528-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMATIC RELENTLESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-528-0358"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.