Active NPI
Primecare Speech Services LLC
- In Home Supportive Care Agency
- Fort Lauderdale, FL
National Provider Identifier
1831088806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PRIMECARE SPEECH SERVICES LLC
- Practice address
- 220 SE 2ND St Apt 1218
Fort Lauderdale, FL 33301-4183 - Phone
- (954) 789-1694
- NPI assigned
- Jul 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina Mendella, MS., CCC-SLP
- Title
- Speech Language Patholgist
- Phone
- (954) 789-1694
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
220 SE 2ND St Apt 1218
Fort Lauderdale, FL 33301-4183
Mailing address
220 SE 2ND St Apt 1218
Fort Lauderdale, FL 33301-4183
Phone (954) 789-1694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Fort Lauderdale, FL
- NPI 1538056635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1831088806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SE 2ND ST APT 1218",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333014183",
"telephone_number": "954-789-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SE 2ND ST APT 1218",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333014183",
"telephone_number": "954-789-1694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE SPEECH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "MENDELLA",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLGIST",
"authorized_official_telephone_number": "954-789-1694",
"authorized_official_credential": "MS., CCC-SLP"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.