NPIMap

Organization Active NPI

The Christian & Missionary Alliance Foundation Inc

Doing business as Shell Point

  • General Practice Physician
  • Fort Myers, FL
National Provider Identifier
1821160607
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Doing business as
Shell Point
Practice address
13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908
Phone
(239) 466-1111
Fax
(239) 454-2111
NPI assigned
Nov 15, 2006
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Tasha Marie Vassar
Title
Medical Billing Manager
Phone
(239) 433-7937

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908

Mailing address

13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504
Phone (239) 454-2146

Other practice location 1

15051 Shell Point Blvd
Fort Myers, FL 33908-1639
Phone (239) 454-2146

Other names 1

  • Shell Point Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040207000013 FL Part B Supplier - Clinic/Group Practice 9739072232 Receives reassigned benefits from 22 practitioners
Practice locations: Fort Myers, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0982512Shell Point Village Medical Center13880 Shell Point Plaza, Medical Center - Ste 110, Fort Myers, FL 33908Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Loren J Zehr MD6 organizations share this tax ID, including this one
Part of
Loren J Zehr MD

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13880 Shell Point Plz
#100
Fort Myers, FL 33908

13880 Shell Point Plz
Ste 110
Fort Myers, FL 33908
Phone (239) 454-2146

617 Union Ave
Bldg 2
Brielle, NJ 08730
Phone (732) 528-5656

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shell Point Home HealthFort Myers, FL, CCN 687083 Home health agency 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Mortgage Interest (13.2%)
5% Or Greater Security Interest (14.9%)
Other (100%)		 May 30, 2019
Jul 10, 2019
Sep 9, 2016
Mar 23, 1967

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1821160607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLAZA",
            "address_2": "SUITE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083504",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLAZA",
            "address_2": "SUITE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15051 Shell Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339081639",
            "country_code": "US",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "VASSAR",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "239-433-7937"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shell Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shell Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.