Jennifer Susan Hunter
Individual provider Active NPI In Home Supportive Care Agency · Lee, FL
NPI 1760917876 · NPPES record last updated Apr 26, 2017
Key facts
- NPI
- 1760917876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 6906899 (FL)
- Practice address
- 1150 NE County Road 255
Lee, FL 32059-7563 - Phone
- (850) 519-2658
- NPI assigned
- Apr 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906899 | FL | MD | In Home Supportive Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 6906899 | FL | Yes |
Addresses
Primary practice location
1150 NE County Road 255
Lee, FL 32059-7563
Mailing address
PO Box 9458
Lee, FL 32059-0458
Phone (850) 519-2658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311ZA0620X | Other | FL | AHCA |
Other providers in Lee, FL
- Angela Lee
- Loyalty Bond LLC
- Lauren G Rosenberg
- Josephine M Schreiber
- The Meadowlands Senior Living Inc
All providers in Lee, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.