Certified Care Sources Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

CERTIFIED CARE SOURCES INC

Practice address

7901 4TH St N Ste 101
St Petersburg, FL 33702-4359

Phone

(727) 600-9193

Fax

(727) 225-9558

NPI assigned

Mar 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renee McKinney

Title

President

Phone

(727) 600-9193

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1003374844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024359",
            "telephone_number": "727-600-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024359",
            "telephone_number": "727-600-9193",
            "fax_number": "727-225-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED CARE SOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-600-9193"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.