Organization Active NPI

Anointed Elder Concierge H C Services LLC

Doing business as Anointed Elder Concierge

  • Developmental Disabilities Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1700443215
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ANOINTED ELDER CONCIERGE H C SERVICES LLC
Doing business as
Anointed Elder Concierge
Anointed Elder Concierge H C Services LLC
Practice address
1127 22ND St S Ste B
St Petersburg, FL 33712-2256
Phone
(727) 280-5732
Fax
(727) 235-0292
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Mrs. Doris L Warren Hester, OWNERNPI 1619430923
Title
Administrator
Phone
(727) 520-2058

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X
Respite Care 385H00000X

Addresses

Primary practice location

1127 22ND St S Ste B
St Petersburg, FL 33712-2256

Mailing address

1127 22ND St S Ste B
St Petersburg, FL 33712-2256
Phone (727) 280-5732

Other practice location 1

1209 13th Ave S
Saint Petersburg, FL 33705-2320
Phone (727) 520-2058

Other identifiers 2

IdentifierTypeStateIssuer
102767600MedicaidFL
235886MedicaidFL

Other names 2

  • Anointed Elder Concierge Doing business as
  • Anointed Elder Concierge H C Services LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AECSLLC2018@GMAIL.COM Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Anointed Elder Concierge H C Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1127 22nd St S
Ste A
St Petersburg, FL 33712

1127 22nd St S
Ste B
St Petersburg, FL 33712
Phone (727) 280-5732

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1700443215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 22ND ST S STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122256",
            "telephone_number": "727-280-5732",
            "fax_number": "727-235-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 22ND ST S STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122256",
            "telephone_number": "727-280-5732",
            "fax_number": "727-235-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 13th Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337052320",
            "country_code": "US",
            "telephone_number": "727-520-2058",
            "fax_number": "727-235-0292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANOINTED ELDER CONCIERGE H C SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "WARREN HESTER",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-520-2058",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102767600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235886",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AECSLLC2018@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1127 22nd St S Ste A",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337122256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Anointed Elder Concierge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anointed Elder Concierge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anointed Elder Concierge H C Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.