Ccuest LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CCUEST LLC

Doing business as

Synergy HomeCare of Palm Bay

Practice address

1501 Robert J Conlan Blvd NE Ste 140
Palm Bay, FL 32905-3560

Phone

(321) 340-3828

NPI assigned

Sep 6, 2022

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Eduardo Cuesta

Title

President /Owner

Phone

(321) 340-3828

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of Palm Bay Doing business as

Locations

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1780305052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 140",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053560",
            "telephone_number": "321-340-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 140",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053560",
            "telephone_number": "321-340-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCUEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "CUESTA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "321-340-3828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Palm Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.