SHC Treasure Coast LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHC TREASURE COAST LLC

Practice address

770 SE Indian St
Stuart, FL 34997-5604

Phone

(772) 236-0073

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Matt Gustafson

Title

Owner

Phone

(772) 236-0073

Specialties & licenses 1

Addresses

Other names 1

• Safe Homecare Doing business as

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1891552436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SE INDIAN ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975604",
            "telephone_number": "772-236-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SE INDIAN ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975604",
            "telephone_number": "772-236-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC TREASURE COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-236-0073"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Shaw, M.D.
• Kamryn C Shaw
• Madison J Shaw
• Shawn T Engebretsen DMD P a
• SHC Home Health Services - Jensen Beach, LLC
• Tiara J Shea-Stapleton
• Sheetal Kumar,M.D. PA
• Gerges Shehata
• Ghulam Nabi Sheikh, M.D.
• Shante Shellman, RBT

• In Home Supportive Care Agency in Stuart, FL
• Providers in Stuart, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.