BLACK CREEK SUPPORTS AND SERVICES, INC.
NPI 1902214174
In Home Supportive Care in Middleburg, FL

Q: What is Black Creek Supports And Services, Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since July 31, 2014

1700 LISMORE CT, MIDDLEBURG, FL 32068(904) 449-2699(904) 375-2019 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Black Creek Supports And Services, Inc. NPPES

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

BLACK CREEK SUPPORTS AND SERVICES, INC. (NPI 1902214174) is a healthcare organization registered as an in home supportive care in Middleburg, Florida and active in the NPI registry since July 2014. The organization lists Shiela Bryant Butler, President, as its authorized official.

NPPES Registry Identity

NPI1902214174

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameBLACK CREEK SUPPORTS AND SERVICES, INC.

Location Address1700 LISMORE CTMiddleburg, FL 32068-6703

Mailing Address1700 Lismore CtMiddleburg, FL 32068-6703 · (904) 449-2699 · Fax (904) 375-2019

Phone(904) 449-2699

Fax(904) 375-2019

Organization SubpartNo

Authorized OfficialShiela Bryant ButlerPresident · (904) 449-2699

Enumeration DateJuly 31, 2014

✔ NPI 1902214174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in FL · 232967

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1700 LISMORE CT, Middleburg, FL 32068

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Other Identifiers 1

Medicaid008143400FL

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 Black Creek Supports And Services, Inc.'s NPI number?

The NPI number for Black Creek Supports And Services, Inc. is 1902214174. It was assigned to this organization in the NPPES registry on July 31, 2014.

Where is Black Creek Supports And Services, Inc. located?

Black Creek Supports And Services, Inc. is located at 1700 Lismore Ct, Middleburg, FL 32068. The listed phone number is (904) 449-2699.

What is Black Creek Supports And Services, Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Black Creek Supports And Services, Inc. was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.