LEE SENIOR SERVICES, LLC (NPI# 1104423862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104423862 |
| Entity Type | Organization |
| Organization Name | LEE SENIOR SERVICES, LLC |
| Other Organization Name | HOME HEALTH BY CYPRESS AT HOME |
| Practice Address |
4100 Center Pointe Dr Ste 111&112 Fort Myers FL 33916-9460 |
| Practice Telephone | 2393493300 |
| Practice Fax Number | 2394182540 |
| Mailing Telephone | 2393493300 |
| Mailing Fax Number | 2394182540 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | TROY CHURCHILL (ADMINISTRATOR) |
| Authorized Official Telephone | 2393493296 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| HOME HEALTH BY CYPRESS AT HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674373 | Lee Senior Services, LLC | Internal Medicine | 9800 S Healthpark Dr Ste 350, Fort Myers, FL 33908-3630 | 2020-06-17 |
| Street Address |
4100 CENTER POINTE DR STE 111&112 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185084 | Covenant Home Health Care 8, LLC | Home Health | 8771 College Pkwy Ste 102, Fort Myers, FL 33919-4815 | 2019-07-11 |
| 1699336040 | All Homecaring Florida, Inc | Home Health | 6238 Presidential Ct Ste 1a, Fort Myers, FL 33919-3581 | 2019-06-26 |
| 1619538493 | Eternity Home Health Inc | Home Health | 12650 World Plaza Ln # 72-2, Fort Myers, FL 33907-4077 | 2019-06-24 |
| 1376102244 | Able Healthcare Services of Lee, Inc. | Home Health | 6226 Presidential Ct Ste A, Fort Myers, FL 33919-3521 | 2019-06-13 |
| 1073172888 | Pure Heart In-home Services | Home Health | 13410 Parker Commons Blvd Ste 105b, Fort Myers, FL 33912-1867 | 2019-06-06 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1477042620 | Cds Care & Support | Home Health | 2726 Oak Ridge Ct Ste 502, Fort Myers, FL 33901-9356 | 2018-05-03 |
| 1720592751 | Pinnacle Home Care of Sw Florida, LLC | Home Health | 5280 Summerlin Commons Way Ste 803, Fort Myers, FL 33907-2160 | 2017-11-29 |
| 1922511518 | Vintex Quality Care, Inc. | Home Health | 12995 S Cleveland Ave Ste 8, Fort Myers, FL 33907-7746 | 2017-11-06 |
| 1033621727 | Swf Home Care Services, LLC | Home Health | 5288 Summerlin Commons Way Ste 904, Fort Myers, FL 33907-2161 | 2017-11-02 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.