Shawn Banner is a Home Health Agency based in Fort Pierce, FL. Shawn Banner practices in Fort Pierce, FL. The NPI Number for Shawn Banner is 1225791908 and holds a License No. (Florida).
The current practice location address for Shawn Banner is 165 Carol Susan Ln, Fort Pierce, FL and can be reached out via phone at 772-206-5815.
Location: 165 Carol Susan Ln, Fort Pierce, FL, 34982-8340
Provider Profile Details
NPI Number
1225791908
Provider Name
Shawn Banner
Credential
Provider Entity Type
Individual
Gender
Male
Address
165 Carol Susan Ln, Fort Pierce, FL, 34982-8340
Phone Number
772-206-5815
Fax Number
Provider Enumeration Date
10/19/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 825501824 | 01 | FL | HOME CARE |
Provider Business Practice Location Address Details
Address
165 Carol Susan Ln
City
State
Zip
34982-8340
Phone Number
772-206-5815
Fax Number
Provider Business Mailing Address Details
Address
165 Carol Susan Ln
City
State
Zip
34982-8340
Phone Number
772-206-5815
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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