MEDICARE: REIDS ELITE KARE LLC

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1821935057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REIDS ELITE KARE LLC

Provider Business Mailing Address
First Line	:	11582 SW VILLAGE PKWY UNIT 146
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34987-2392
Country	:	US
Telephone Number	:	772-271-0475
Fax Number	:

Provider Business Practice Location Address
First Line	:	2185 ROBERT J CONLAN BLVD NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-2766
Country	:	US
Telephone Number	:	772-271-0602
Fax Number	:

Authorized Official
Title or Position	:	OWER
Name	:	MS. SIMONE N REID
Credential	:
Telephone Number	:	954-548-0602

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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