Churchill Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHURCHILL SERVICES LLC

Practice address

210 SW Ocean Blvd
Stuart, FL 34994-2944

Phone

(772) 220-3090

NPI assigned

Feb 4, 2020

Organization subpart

Yes

Parent organization

CHURCHILL SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Annabel C Nicol

Title

Director

Phone

(772) 220-3090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TenderCare Services LLC Doing business as

Part of

Churchill Services LLC

Locations

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1760013189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SW OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942944",
            "telephone_number": "772-220-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SW OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942944",
            "telephone_number": "772-220-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHILL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHURCHILL SERVICES LLC",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "ANNABEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-220-3090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30122418",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TenderCare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Chriske, RD, LD/N
• Christian Community Care Center
• Christopher J. Collins DC, PA
• Mary Chryssiadis, M.D.
• Merlin Chummar
• Olivia Nicole Chuzie
• Sarah Anderson Cianciaruli, FNP-BC
• Christopher Andrew Ciccarelli, PT, DPT
• Diane Ciccarelli, ED.D
• Joseph A Ciccone, CPH, RPH

• Home Health Agency in Stuart, FL
• Providers in Stuart, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.