Provider Demographics
NPI:1063121028
Name:SCHMIDT ENTERPRISES OF SWFL, LLC
Entity type:Organization
Organization Name:SCHMIDT ENTERPRISES OF SWFL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-961-3324
Mailing Address - Street 1:4837 SWIFT RD
Mailing Address - Street 2:STE 110-5
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-5182
Mailing Address - Country:US
Mailing Address - Phone:941-877-1000
Mailing Address - Fax:
Practice Address - Street 1:4837 SWIFT RD STE 110-5
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-5182
Practice Address - Country:US
Practice Address - Phone:941-877-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty