MEDICARE: MISS JADA MICHELLE MERRITT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679085195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JADA MICHELLE MERRITT

Provider Business Mailing Address
First Line	:	4836 S US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-7013
Country	:	US
Telephone Number	:	772-577-6783
Fax Number	:

Provider Business Practice Location Address
First Line	:	4836 S US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-7013
Country	:	US
Telephone Number	:	772-501-2123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	06/18/2020

Similar Medicare Providers

1083191514 — AGAPE CARE
Practice Location Address:

4836 S US HIGHWAY 1
FORT PIERCE, FL
34982-7013

Practice Phone: 772-577-6783
Practice Fax: 772-252-4082

1740070432 — PRESTIGE HAVEN CARE SERVICES
Practice Location Address:

4824 S US HIGHWAY 1
FORT PIERCE, FL
34982-7013

Practice Phone: 772-646-3006
Practice Fax: 772-273-4353

1679045652 — SO YOUNG LEE LCSW
Practice Location Address:

100 OLD PALISADE RD APT 606
FORT LEE, NJ
07024-7013

Practice Phone: 347-228-3475
Practice Fax:

1962360776 — THERAPY PROFESSIONAL NETWORK
Practice Location Address:

5810 RAINTREE TRL
FORT PIERCE, FL
34982-7508

Practice Phone: 772-370-7450
Practice Fax:

1114886017 — MAYKA CUEVAS LOPEZ
Practice Location Address:

2823 STONEWAY LN APT B
FORT PIERCE, FL
34982-4342

Practice Phone: 786-332-1109
Practice Fax:

1952023590 — AARON WINGLER DC
Practice Location Address:

805 VIRGINIA AVE STE 10
FORT PIERCE, FL
34982-5881

Practice Phone: 772-460-9000
Practice Fax:

Directions to “ MISS JADA MICHELLE MERRITT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.