Caring Shepherd HHC Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARING SHEPHERD HHC AGENCY, LLC

Practice address

4415 Metro Pkwy Ste 110
Fort Myers, FL 33916-9408

Phone

(516) 247-6389

Fax

(239) 790-5701

NPI assigned

Nov 14, 2023

Last updated

Jan 29, 2025By 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

Michele Eliassaint

Title

Owner/President

Phone

(516) 430-0140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790559359. Details of each certification follow.

• CCN 687391 Home health agency · Active · Details

Home health agency certification: CCN 687391

Legal name

CARING SHEPHERD HHC AGENCY LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 2, 2025

Last certification

Jun 13, 2025

Organization structure

LLCProprietary

Enrollment address

4415 Metro Pkwy
Ste 110
Fort Myers, FL 33916-9470
HHA Branch

Listed as

Caring Shepherd HHC Agency, LLCCCN 687391 · All quality measures

Ownership

-

Certified

Jul 2, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1790559359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169470",
            "telephone_number": "516-247-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 METRO PKWY STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169408",
            "telephone_number": "516-247-6389",
            "fax_number": "239-790-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING SHEPHERD HHC AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "ELIASSAINT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-430-0140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Fort Myers, FL
• Providers in Fort Myers, 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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.