Active NPI
Elaine Deremer Cook, PE
- Home Modifications Contractor
- Merritt Island, FL
National Provider Identifier
1992179873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 57426
- Practice address
- 1520 Pine Island Rd
Merritt Island, FL 32953-6611 - Phone
- (321) 208-7989
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 57426 | FL | Primary |
Addresses
Primary practice location
1520 Pine Island Rd
Merritt Island, FL 32953-6611
Mailing address
1520 Pine Island Rd
Merritt Island, FL 32953-6611
Phone (321) 208-7989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-3662486 | Other | FL | HANDYPRO OF THE SPACE COAST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57426 | FL | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuffstufs Enterprises Inc | Home Modifications | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Modifications Contractor
- Merritt Island, FL
- NPI 1801256573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1992179873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 PINE ISLAND RD",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329536611",
"telephone_number": "321-208-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 PINE ISLAND RD",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329536611",
"telephone_number": "321-208-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEREMER COOK",
"first_name": "ELAINE",
"credential": "PE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "FL",
"license": "57426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HANDYPRO OF THE SPACE COAST",
"identifier": "47-3662486",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.