SPLENDIDLY MADE LLC
NPI 1003679457
Nurse Practitioner - Psychiatric/Mental Health in Bushnell, FL

Active since January 30, 2024CLIA 10D2319443 · Waiver
2590 W C 48, BUSHNELL, FL 33513(352) 254-4484 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Splendidly Made Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPLENDIDLY MADE LLC (NPI 1003679457) is a healthcare organization registered as a psychiatric/mental health in Bushnell, Florida and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Denise Marie Chandler, Owner, as its authorized official.

NPPES Registry Identity

NPI1003679457
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSPLENDIDLY MADE LLC
Location Address2590 W C 48Bushnell, FL 33513-8386
Mailing AddressPo Box 333Bushnell, FL 33513-0020
Organization SubpartNo
Authorized OfficialDenise Marie ChandlerOwner · (352) 254-4484
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1003679457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2590 W C 48, Bushnell, FL 33513

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2319443

Splendidly Made LLC · Bushnell, FL
Active · expires Feb 27, 2027
CLIA Number10D2319443
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDenise M. Chandler
Laboratory Phone(352) 254-4484
Laboratory LocationSplendidly Made LLC132 Bushnell Plaza, Bushnell, FL 33513
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Splendidly Made LLC's NPI number?

The NPI number for Splendidly Made LLC is 1003679457. It was assigned to this organization in the NPPES registry on January 30, 2024.

Where is Splendidly Made LLC located?

Splendidly Made LLC is located at 2590 W C 48, Bushnell, FL 33513. The listed phone number is (352) 254-4484.

What is Splendidly Made LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Splendidly Made LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2319443) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Splendidly Made LLC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.