Organization · NPI-2

Cicily Health Care Services

Home Health · Port St Lucie, FL

NPI number1407403975

StatusActive

Last updated in NPPESMar 1, 2022

Details

NPI: 1407403975
Entity type: Organization (NPI-2)
Legal business name: Cicily Health Care Services
Organization subpart: No
Enumeration date: Aug 20, 2019
Certification date: Mar 1, 2022
Last updated: Mar 1, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
251J00000X	Nursing Care	–	–
253Z00000X	In Home Supportive Care	–	–
347C00000X	Private Vehicle	–	–
385H00000X	Respite Care	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–
385HR2065X	Respite Care, Respite Care, Physical Disabilities, Child	–	–

Other names

Cicily Cares (Doing Business As)

Practice location

2658 Sw Brigantine Pl
Port St Lucie, FL 34953-4319

Phone 772-446-4510 · Fax 772-902-8277

Mailing address

2658 Sw Brigantine Pl
Port St Lucie, FL 34953-4319

Phone 772-446-4510 · Fax 772-800-3067

Authorized official

Carol Taylor-Moore
Ceo
7724464510

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.