Organization Active NPI

Shirley'S Personal Care Services, Inc.

  • Home Health Agency
  • Stuart, FL
National Provider Identifier
1700049970
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NR30211065 Issued in FL
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

Updated by the provider on Jul 8, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
687043100MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.