Organization Active NPI

Amethyst Professional Consulting, LLC

  • Home Delivered Meals
  • Eustis, FL
National Provider Identifier
1689584070
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
AMETHYST PROFESSIONAL CONSULTING, LLC
Practice address
303 N Grove St Ste 2
Eustis, FL 32726-3456
Phone
(689) 217-2530
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Derice Williams-Fahie
Title
Ceo/Owner
Phone
(954) 483-8605

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Voluntary or Charitable Agency 251V00000X
Home Delivered Meals 332U00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
In Home Supportive Care Agency 253Z00000X
Meals Provider 174200000X

Addresses

Primary practice location

303 N Grove St Ste 2
Eustis, FL 32726-3456

Mailing address

3125 Washington St
PMB 18
Zellwood, FL 32798
Phone (689) 217-2530

National Provider Directory

National Provider Directory

Locations

303 N Grove St
Ste 2
Eustis, FL 32726

3125 Washington St
Unit 18
Zellwood, FL 32798

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1689584070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 WASHINGTON ST",
            "address_2": "PMB 18",
            "city": "ZELLWOOD",
            "state": "FL",
            "postal_code": "32798",
            "telephone_number": "689-217-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N GROVE ST STE 2",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263456",
            "telephone_number": "689-217-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST PROFESSIONAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-FAHIE",
        "authorized_official_first_name": "DERICE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "954-483-8605"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.