Organization Active NPI

Special Needs Homes LLC.

  • Transportation Broker
  • Vero Beach, FL
National Provider Identifier
1801420641
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
SPECIAL NEEDS HOMES LLC.
Practice address
803 11TH CT SW
Vero Beach, FL 32962-4431
Phone
(772) 584-5522
Fax
(772) 778-0279
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Charles Stadelman
Title
Ceo
Phone
(772) 584-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

803 11TH CT SW
Vero Beach, FL 32962-4431

Mailing address

803 11TH CT SW
Vero Beach, FL 32962-4431
Phone (772) 584-5522

National Provider Directory

National Provider Directory

Locations

803 11th Ct SW
Vero Beach, FL 32962
Phone (772) 584-5522

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1801420641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 11TH CT SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624431",
            "telephone_number": "772-584-5522",
            "fax_number": "772-778-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 11TH CT SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624431",
            "telephone_number": "772-584-5522",
            "fax_number": "772-778-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL NEEDS HOMES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "STADELMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-584-5522"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.