Healthcare Provider Details

I. General information

NPI: 1821935057
Provider Name (Legal Business Name): REIDS ELITE KARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 ROBERT J CONLAN BLVD NE
PALM BAY FL
32905-2766
US

IV. Provider business mailing address

11582 SW VILLAGE PKWY UNIT 146
PORT ST LUCIE FL
34987-2392
US

V. Phone/Fax

Practice location:
  • Phone: 772-271-0602
  • Fax:
Mailing address:
  • Phone: 772-271-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. SIMONE N REID
Title or Position: OWER
Credential:
Phone: 954-548-0602