Organization Active NPI

Primecare Speech Services LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
National Provider Identifier
1831088806
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Gina Mendella, MS., CCC-SLPNPI 1538056635
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20250903000147 FL Part B Supplier - Clinic/Group Practice 9931600673 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.