Organization Active NPI

Sheron Frater

  • Adult Care Home Facility
  • Palm Bay, FL
National Provider Identifier
1760857197
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SHERON FRATER
Practice address
1041 Pembroke Ave NE
Palm Bay, FL 32907-1310
Phone
(321) 345-5688
Fax
(321) 327-3311
NPI assigned
Dec 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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

Authorized official

Name
Ms. Sheron Carmeleta FraterNPI 1255805289
Title
Owner
Phone
(321) 345-5688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1041 Pembroke Ave NE
Palm Bay, FL 32907-1310

Mailing address

1041 Pembroke Ave NE
Palm Bay, FL 32907-1310
Phone (321) 345-5688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649548800000",
    "number": "1760857197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 PEMBROKE AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071310",
            "telephone_number": "321-345-5688",
            "fax_number": "321-327-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 PEMBROKE AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071310",
            "telephone_number": "321-345-5688",
            "fax_number": "321-327-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERON FRATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A",
        "authorized_official_last_name": "FRATER",
        "authorized_official_first_name": "SHERON",
        "authorized_official_middle_name": "CARMELETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-345-5688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.