Active NPI
S.L. Support Services LLC
- In Home Supportive Care Agency
- North Fort Myers, FL
National Provider Identifier
1750774303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001310800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.