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SHC HOME HEALTH SERVICES - PORT CHARLOTTE LLC NPI 1366870628


NPI Information

NPI: 1366870628
Provider Name: SHC HOME HEALTH SERVICES - PORT CHARLOTTE, LLC

Doing Business As: SIGNATURE HOMENOW

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 10D1064436

Address:
13410 PARKER COMMONS BLVD STE 105
FORT MYERS, FL
ZIP 33912
Phone: (239) 274-9124
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SHC HOME HEALTH SERVICES - PORT CHARLOTTE, LLC is a home health in Fort Myers, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. SHC HOME HEALTH SERVICES - PORT CHARLOTTE, LLC NPI is 1366870628. The provider is registered as an organization entity type.
The provider Is Doing Business As Signature Homenow.

The provider's business location address is:

13410 PARKER COMMONS BLVD STE 105
FORT MYERS, FL
ZIP 33912-867
Phone: (239) 274-9124
Fax: (941) 629-1215

The provider's authorized official is John Harrison .
The authorized official title is Cfo and has the following contact phone number (502) 568-7800.

The CLIA number assigned to this NPI record is 10D1064436 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 12/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.