Organization Active NPI

Pine Island Wellness at Home LLC

Doing business as Wellness at Home Senior Concierge Specialists

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • St James City, FL
National Provider Identifier
1578346797
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PINE ISLAND WELLNESS AT HOME LLC
Doing business as
Wellness at Home Senior Concierge Specialists
Practice address
4480 Stringfellow Rd Unit 86
Saint James City, FL 33956-2414
Phone
(941) 202-4005
NPI assigned
Aug 14, 2023
Organization subpart
Yes
Parent organization
PINE ISLAND WELLNESS AT HOME LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Jody Franke, COTA-L, CAPSNPI 1083185862
Title
Managing Member - Founder
Phone
(239) 940-0767

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

4480 Stringfellow Rd Unit 86
Saint James City, FL 33956-2414

Mailing address

4020 Pinetree Blvd
Saint James City, FL 33956-2429
Phone (239) 940-0767

Other names 1

  • Wellness at Home Senior Concierge Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Pine Island Wellness at Home LLC

Locations

4480 Stringfellow Rd
Unit 86
Saint James City, FL 33956
Phone (941) 202-4005

Practitioners & affiliated clinicians

Practitioners 1

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": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1578346797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PINETREE BLVD",
            "city": "SAINT JAMES CITY",
            "state": "FL",
            "postal_code": "339562429",
            "telephone_number": "239-940-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 STRINGFELLOW RD UNIT 86",
            "city": "SAINT JAMES CITY",
            "state": "FL",
            "postal_code": "339562414",
            "telephone_number": "941-202-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE ISLAND WELLNESS AT HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINE ISLAND WELLNESS AT HOME LLC",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "FRANKE",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "MANAGING MEMBER - FOUNDER",
        "authorized_official_telephone_number": "239-940-0767",
        "authorized_official_credential": "COTA-L, CAPS"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness at Home Senior Concierge Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness at Home Senior Concierge Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St James City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.