South West Florida Complete Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTH WEST FLORIDA COMPLETE HEALTHCARE LLC

Practice address

227 SE 43Rd Ter
Cape Coral, FL 33904-8424

Phone

(239) 738-8311

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Penny Houseman, APRNNPI 1609279314

Title

Manager

Phone

(239) 738-8311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Penny L Houseman, NP-C

  • Family Nurse Practitioner
  • Cape Coral, FL
  • NPI 1609279314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1942937412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SE 43RD TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048424",
            "telephone_number": "239-738-8311",
            "fax_number": "239-778-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SE 43RD TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048424",
            "telephone_number": "239-738-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST FLORIDA COMPLETE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "HOUSEMAN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-738-8311",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.