Organization Active NPI

Speak Life Elderly Care LLC

  • Home Health Agency
  • Davenport, FL
National Provider Identifier
1861100455
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPEAK LIFE ELDERLY CARE LLC
Practice address
266 Vervain Ave
Davenport, FL 33837-9108
Phone
(407) 486-5370
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Mr. Jacson Herard
Title
President
Phone
(863) 595-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

266 Vervain Ave
Davenport, FL 33837-9108

Mailing address

266 Vervain Ave
Davenport, FL 33837-9108
Phone (407) 486-5370

Other names 1

  • SPEAK LIFE ELDERLY CARE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1861100455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 VERVAIN AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379108",
            "telephone_number": "407-486-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 VERVAIN AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379108",
            "telephone_number": "407-486-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK LIFE ELDERLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "HERARD",
        "authorized_official_first_name": "JACSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-595-5828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPEAK LIFE ELDERLY CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.