NPIMap

Organization Active NPI

Senior Sidekicks of Central Florida LLC

  • In Home Supportive Care Agency
  • Sanford, FL
National Provider Identifier
1962847657
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
233013 Issued in FL
Legal business name
SENIOR SIDEKICKS OF CENTRAL FLORIDA LLC
Practice address
169 Walnut Crest Run
Sanford, FL 32771-7987
Phone
(407) 712-3949
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Shelby Medley
Title
Ceo/Owner
Phone
(407) 712-3949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 233013 FL Primary

Addresses

Primary practice location

169 Walnut Crest Run
Sanford, FL 32771-7987

Mailing address

PO Box 471444
Lake Monroe, FL 32747-1444
Phone (407) 712-3949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1962847657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471444",
            "city": "LAKE MONROE",
            "state": "FL",
            "postal_code": "327471444",
            "telephone_number": "407-712-3949",
            "fax_number": "407-878-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 WALNUT CREST RUN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717987",
            "telephone_number": "407-712-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SIDEKICKS OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "407-712-3949"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.