Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Creek Supports and Services, Inc

Organization In Home Supportive Care Agency · NPI 1902214174

Black Creek Supports and Services, Inc is an In Home Supportive Care Agency in Middleburg, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 Lismore Ct
Middleburg, FL 32068-6703
Phone: (904) 449-2699
Fax: (904) 375-2019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 232967 (FL)

Record details

NPI number1902214174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shiela Butler — President · (904) 449-2699
NPI enumeratedJuly 31, 2014
Last updated in NPPESJuly 31, 2014
Mailing address1700 Lismore Ct, Middleburg, FL 32068-6703

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