NPIMap

Organization Active NPI

Cja Support Care Services, LLC

  • In Home Supportive Care Agency
  • Kissimmee, FL
National Provider Identifier
1972271641
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CJA SUPPORT CARE SERVICES, LLC
Practice address
809 E Oak St Ste 105
Kissimmee, FL 34744-5834
Phone
(407) 483-9520
Fax
(407) 483-9551
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Sergio J Aponte
Title
Owner
Phone
(407) 483-9520

Specialties & licenses 1

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

Addresses

Primary practice location

809 E Oak St Ste 105
Kissimmee, FL 34744-5834

Mailing address

809 E Oak St Ste 105
Kissimmee, FL 34744-5834
Phone (407) 483-9520

Other identifiers 1

IdentifierTypeStateIssuer
002189500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Cja Support Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1972271641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E OAK ST STE 105",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445834",
            "telephone_number": "407-483-9520",
            "fax_number": "407-483-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E OAK ST STE 105",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445834",
            "telephone_number": "407-483-9520",
            "fax_number": "407-483-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJA SUPPORT CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "APONTE",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-483-9520"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002189500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.