Concierge Care of Fort Myers, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONCIERGE CARE OF FORT MYERS, LLC

Doing business as

Concierge Care

Practice address

3033 Winkler Ave Unit 120
Fort Myers, FL 33916-9523

Phone

(239) 689-3090

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Nancy Ralston

Title

Managing Member

Phone

(904) 534-1655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concierge Care Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1942730692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168201",
            "telephone_number": "904-333-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVE UNIT 120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169523",
            "telephone_number": "239-689-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARE OF FORT MYERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-534-1655"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR CARE REFERRAL AGENCY",
            "identifier": "00000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Company",
            "affiliation": "N",
            "endpointDescription": "Managed by Venture Point",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3033 Winkler Ave Unit 120",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339169523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Fort Myers, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.