Individual provider Active NPI

Soline Clairvoyant

  • In Home Supportive Care Agency
  • Port St Lucie, FL
National Provider Identifier
1790538247
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
99-2209325
Practice address
4202 SW Savona Blvd
Port St Lucie, FL 34953-7242
Phone
(561) 452-1871
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 99-2209325 Primary

Addresses

Primary practice location

4202 SW Savona Blvd
Port St Lucie, FL 34953-7242

Mailing address

4202 SW Savona Blvd
Port St Lucie, FL 34953-7242
Phone (561) 452-1871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1790538247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 SW SAVONA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537242",
            "telephone_number": "561-452-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SW SAVONA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537242",
            "telephone_number": "561-452-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIRVOYANT",
        "first_name": "SOLINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "99-2209325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.