Active NPI
Lee Community Home Healthcare Inc
- Home Health Agency
- Cape Coral, FL
National Provider Identifier
1912506288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LEE COMMUNITY HOME HEALTHCARE INC
- Practice address
- 1408 SE 17TH Ave Ste E
Cape Coral, FL 33990-3801 - Phone
- (239) 800-4861
- Fax
- (239) 800-4861
- NPI assigned
- Oct 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivelisse Gonzalez, RN
- Title
- Administrator
- Phone
- (239) 800-4861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1408 SE 17TH Ave Ste E
Cape Coral, FL 33990-3801
Mailing address
1408 SE 17TH Ave Ste E
Cape Coral, FL 33990-3801
Phone (239) 800-4861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110218400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1408 SE 17th Ave
Ste E
Cape Coral, FL 33990
Phone (239) 360-7963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1912506288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 SE 17TH AVE STE E",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903801",
"telephone_number": "239-800-4861",
"fax_number": "239-800-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 SE 17TH AVE STE E",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903801",
"telephone_number": "239-800-4861",
"fax_number": "239-800-4861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE COMMUNITY HOME HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "IVELISSE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "239-800-4861",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110218400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
- Alessia Leathers
- Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
- Andrea E Lebleu, RPH
- Laura Lecocq, MS, OTR/L
- Lee Accident Care Clinic, LLC
- Lee County Care Center LLC
- Lee County Care Services Inc (Home Helpers Home Care)
- Lee County Catering Inc
- Lee County Internal Medicine Associates PA
- Lee Family Wellness Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.