Organization Active NPI

S.L. Support Services LLC

  • In Home Supportive Care Agency
  • North Fort Myers, FL
National Provider Identifier
1750774303
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
S.L. SUPPORT SERVICES LLC
Practice address
4401 Teasdale Dr
North Fort Myers, FL 33903-5837
Phone
(239) 297-0726
Fax
(888) 958-5726
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Mrs. Shamfa Monifa Laporta
Title
Owner/Operator
Phone
(239) 297-0726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4401 Teasdale Dr
North Fort Myers, FL 33903-5837

Mailing address

4401 Teasdale Dr
North Fort Myers, FL 33903-5837
Phone (239) 297-0726

Other identifiers 1

IdentifierTypeStateIssuer
001310800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1750774303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 TEASDALE DR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339035837",
            "telephone_number": "239-297-0726",
            "fax_number": "888-958-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 TEASDALE DR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339035837",
            "telephone_number": "239-297-0726",
            "fax_number": "888-958-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.L. SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "LAPORTA",
        "authorized_official_first_name": "SHAMFA",
        "authorized_official_middle_name": "MONIFA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "239-297-0726",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001310800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.