Organization Active NPI

Lee Community Home Healthcare Inc

  • Home Health Agency
  • Cape Coral, FL
National Provider Identifier
1912506288
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 10, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110218400MedicaidFL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.