Organization Active NPI

Aegis Care Services

  • Developmentally Disabled Services Day Training Agency
  • Palm Bay, FL
National Provider Identifier
1639057672
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
AEGIS CARE SERVICES
Practice address
1133 Torrington St SE
Palm Bay, FL 32909-7334
Phone
(904) 477-3138
NPI assigned
Aug 26, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Shedrick Deandra Shields, PHD, FNP-BCNPI 1902125446
Title
Ceo
Phone
(904) 477-3138

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
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

1133 Torrington St SE
Palm Bay, FL 32909-7334

Mailing address

3363 Dione St
West Melbourne, FL 32904-7582
Phone (904) 477-3138

National Provider Directory

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": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1639057672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 DIONE ST",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329047582",
            "telephone_number": "904-477-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 TORRINGTON ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329097334",
            "telephone_number": "904-477-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "SHEDRICK",
        "authorized_official_middle_name": "DEANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-477-3138",
        "authorized_official_credential": "PHD, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.