Active NPI
Shirley'S Personal Care Services, Inc.
- Home Health Agency
- Stuart, FL
National Provider Identifier
1700049970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NR30211065
- Legal business name
- SHIRLEY'S PERSONAL CARE SERVICES, INC.
- Practice address
- 1045 SE Ocean Blvd Ste 5
Stuart, FL 34996-2538 - Phone
- (772) 223-4620
- Fax
- (772) 287-1424
- NPI assigned
- Jul 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Johnnie Ruth Murphy
- Title
- Alternate Administrator
- Phone
- (772) 223-4620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NR30211065 | FL | Primary |
Addresses
Primary practice location
1045 SE Ocean Blvd Ste 5
Stuart, FL 34996-2538
Mailing address
1045 SE Ocean Blvd Ste 5
Stuart, FL 34996-2538
Phone (772) 223-4620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687043100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1045 SE Ocean Blvd
Ste 5
Stuart, FL 34996
Phone (772) 223-4620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1700049970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 SE OCEAN BLVD STE 5",
"city": "STUART",
"state": "FL",
"postal_code": "349962538",
"telephone_number": "772-223-4620",
"fax_number": "772-287-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 SE OCEAN BLVD STE 5",
"city": "STUART",
"state": "FL",
"postal_code": "349962538",
"telephone_number": "772-223-4620",
"fax_number": "772-287-1424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY'S PERSONAL CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "JOHNNIE",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
"authorized_official_telephone_number": "772-223-4620",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "NR30211065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "687043100",
"state": "FL"
}
],
"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 Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.