Organization Active NPI

Fidelity Health Care Services, Inc

  • Nursing Care Agency
  • Palm Springs, FL
National Provider Identifier
1861193989
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
FIDELITY HEALTH CARE SERVICES, INC
Practice address
4175 S Congress Ave Ste W
Palm Springs, FL 33461-4725
Phone
(561) 603-8994
NPI assigned
Mar 15, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Quetelie Perrin
Title
Ceo
Phone
(561) 603-8994

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4175 S Congress Ave Ste W
Palm Springs, FL 33461-4725

Mailing address

4175 S Congress Ave Ste W
Palm Springs, FL 33461-4725

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1861193989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE STE W",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE STE W",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614725",
            "telephone_number": "561-603-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "QUETELIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-603-8994"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.