4Moons Care Center LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

4MOONS CARE CENTER LLC

Practice address

3400 Lee Blvd Suite 113
Lehigh Acres, FL 33971

Phone

(239) 631-2917

Fax

(239) 631-8973

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Misael PerdomoNPI 1821684242

Title

Owner, Administrator

Phone

(239) 634-2917

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Misael Perdomo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naples, FL
  • NPI 1821684242
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1982356580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LEE BLVD SUITE 113",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33971",
            "telephone_number": "239-244-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEE BLVD SUITE 113",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33971",
            "telephone_number": "239-631-2917",
            "fax_number": "239-631-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4MOONS CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-05-09",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "MISAEL",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "239-634-2917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A & C Primary Care Service Inc
• A & V Collections, LLC
• A Behavioral Approach Inc
• A Care Transport Services Inc

• In Home Supportive Care Agency in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.