Organization Active NPI

Reed Prestigious Caregiving Incorporation

  • Home Health Agency
  • Port Saint Lucie, FL
National Provider Identifier
1720568587
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REED PRESTIGIOUS CAREGIVING INCORPORATION
Practice address
4280 SW Savona Blvd
Port Saint Lucie, FL 34953-7242
Phone
(772) 584-5373
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Angela Garrido Reed
Title
Owner
Phone
(772) 584-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4280 SW Savona Blvd
Port Saint Lucie, FL 34953-7242

Mailing address

PO Box 881054
Port Saint Lucie, FL 34988-1054
Phone (772) 584-5373

Other identifiers 1

IdentifierTypeStateIssuer
725454MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1720568587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881054",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349881054",
            "telephone_number": "772-584-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 SW SAVONA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537242",
            "telephone_number": "772-584-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED PRESTIGIOUS CAREGIVING INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GARRIDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-584-5373"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "725454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.