Organization Active NPI

The Christian & Missionary Alliance Foundation Inc

Doing business as Shell Point Village

  • In Home Supportive Care Agency
  • Fort Myers, FL
National Provider Identifier
1740759844
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Doing business as
Shell Point Village
Practice address
15051 Shell Point Blvd
Fort Myers, FL 33908-1639
Phone
(239) 433-7937
Fax
(239) 454-2279
NPI assigned
Nov 19, 2018
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Tasha Marie Vassar
Title
Medical Billing Manager
Phone
(239) 433-7937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15051 Shell Point Blvd
Fort Myers, FL 33908-1639

Mailing address

15000 Shell Point Blvd Ste 100
Fort Myers, FL 33908-1657
Phone (239) 433-7937

Other names 1

  • Shell Point Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Loren J Zehr MD6 organizations share this tax ID, including this one
Part of
Loren J Zehr MD

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1740759844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-433-7937",
            "fax_number": "239-454-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 SHELL POINT BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081639",
            "telephone_number": "239-433-7937",
            "fax_number": "239-454-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC",
        "enumeration_date": "2018-11-19",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "VASSAR",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "239-433-7937"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shell Point Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.