XL Care Agency, Inc. of Collier

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21888096 Issued in FL

Legal business name

XL CARE AGENCY, INC. OF COLLIER

Practice address

389 Commercial CT Ste a
Venice, FL 34292-1617

Phone

(941) 787-7606

NPI assigned

Aug 31, 2006

Last updated

Dec 12, 2022By 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

Kristi Jackson

Title

Director of Clinical Services

Phone

(941) 257-4285

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1831200948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PENNIMAN AVE UNIT 6426",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481707722",
            "telephone_number": "888-891-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 COMMERCIAL CT STE A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921617",
            "telephone_number": "941-787-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XL CARE AGENCY, INC. OF COLLIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "941-257-4285"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21888096",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HC3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Woomer, PA-C
• Arlene Terry Wright, APRN
• Clark J. Wright, D.M.D.
• Gary D Wright, M.D.
• Melody Adell Wurl
• Amanda Yamrick, APRN
• Saedeh Sarah Young
• Alyssa Youngblood
• Gabriel M. Youssef, M.D.
• John J Yurosko, DMD

• Home Health Agency in Venice, FL
• Providers in Venice, 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 Dec 12, 2022; 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.