SHANEDAS TIME TO CARE LLC
NPI 1336651207
Clinic/Center - Developmental Disabilities in Port Saint Lucie, FL

Active since October 31, 2017
6233 NW GISELA ST, PORT SAINT LUCIE, FL 34986(772) 777-9827 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Nov 25, 2019, Oct 2, 2019 and 1 more (4 updates tracked since 2017).

About Shanedas Time To Care Llc NPPES

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

SHANEDAS TIME TO CARE LLC (NPI 1336651207), doing business as Shaneada Vancol, is a healthcare organization registered as a developmental disabilities in Port Saint Lucie, Florida and active in the NPI registry since October 2017. The organization lists Shaneada Vancol, Owner, as its authorized official.

NPPES Registry Identity

NPI1336651207
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSHANEDAS TIME TO CARE LLC
Location Address6233 NW GISELA STPort Saint Lucie, FL 34986-3866
Mailing Address1881 Sw Elijah AvePort Saint Lucie, FL 34953-3495 · (772) 501-6619
Organization SubpartNo
Authorized OfficialShaneada VancolOwner · (772) 501-6619
Enumeration DateOctober 31, 2017
Last NPPES UpdateJuly 12, 20244 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
NPI 1336651207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
6233 NW GISELA ST, Port Saint Lucie, FL 34986

Other Names 1

Former Legal Business NameShaneada Vancol

Other Identifiers 1

Medicaid022855600FL

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 Shanedas Time To Care LLC's NPI number?

The NPI number for Shanedas Time To Care LLC is 1336651207. It was assigned to this organization in the NPPES registry on October 31, 2017. The provider was formerly known as Shaneada Vancol.

Where is Shanedas Time To Care LLC located?

Shanedas Time To Care LLC is located at 6233 NW Gisela St, Port Saint Lucie, FL 34986. The listed phone number is (772) 777-9827.

What is Shanedas Time To Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Shanedas Time To Care LLC was last updated on July 12, 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.