Etqol Nurse Care Agency LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

ETQOL NURSE CARE AGENCY LLC

Practice address

4298 Great Egret Way
Middleburg, FL 32068-8760

Phone

(803) 318-2052

NPI assigned

Mar 6, 2026

Organization subpart

No

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

Authorized official

Name

Shermell WilliamsNPI 1609330398

Title

Ceo/Administrator/Owner

Phone

(803) 318-2052

Specialties & licenses 1

Addresses

Practitioners 2

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

• Shermell Williams

  • Case Manager/Care Coordinator
  • Middleburg, FL
  • NPI 1609330398
  NPD Authorized official
• Jennifer L Lake

  • Case Manager/Care Coordinator
  • Middleburg, FL
  • NPI 1760006506
  NPD (past)

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1992651673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4298 GREAT EGRET WAY",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688760",
            "telephone_number": "803-318-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4298 GREAT EGRET WAY",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688760",
            "telephone_number": "803-318-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETQOL NURSE CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHERMELL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "803-318-2052"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Middleburg, FL
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.