NPIMap

Organization Active NPI

Unconditional Love Incorporated

Doing business as Comprehensive Health Care

  • Clinic/Center
  • Melbourne, FL
National Provider Identifier
1902067630
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNCONDITIONAL LOVE INCORPORATED
Doing business as
Comprehensive Health Care
Practice address
1509 N Harbor City Blvd
Melbourne, FL 32935-6572
Phone
(321) 253-0846
Fax
(321) 253-1004
NPI assigned
Jun 25, 2008
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Jessica Seidita
Title
Ceo
Phone
(321) 259-8928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1509 N Harbor City Blvd
Melbourne, FL 32935-6572

Mailing address

1495 N. Harbor City Blvd.
Suite F
Melbourne, FL 32935-6572
Phone (321) 253-0846

Other identifiers 1

IdentifierTypeStateIssuer
034139803MedicaidFL

Other names 1

  • Comprehensive Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Unconditional Love Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1509 N Harbor City Blvd
Melbourne, FL 32935
Phone (321) 253-0846

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1902067630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 N. HARBOR CITY BLVD.",
            "address_2": "SUITE F",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356572",
            "telephone_number": "321-253-0846",
            "fax_number": "321-253-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356572",
            "telephone_number": "321-253-0846",
            "fax_number": "321-253-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCONDITIONAL LOVE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "SEIDITA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-259-8928"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034139803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.