Carmita'S Assisting Living Facility III LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12312 Issued in FL

Legal business name

CARMITA'S ASSISTING LIVING FACILITY III LLC

Practice address

939 Park Manor Dr
Orlando, FL 32825-6744

Phone

(407) 432-6785

Fax

(407) 897-7452

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Jesus PrietoNPI 1154707610

Title

Owner

Phone

(407) 432-6785

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Prieto

  • Community Health Worker
  • Orlando, FL
  • NPI 1154707610
  NPD (past) Authorized official

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1013385491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 PARK MANOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256744",
            "telephone_number": "407-432-6785",
            "fax_number": "407-897-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 PARK MANOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256744",
            "telephone_number": "407-432-6785",
            "fax_number": "407-897-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMITA'S ASSISTING LIVING FACILITY III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-432-6785"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008511900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rochelle Carlyle, DDS
• Kathryn Lee Carmalt, COTA
• Cerenity Carmichael, LMHC
• Kristina Angela Carmichael, ARNP
• Carmita'S Assisted Living Facility II LLC
• Carmita'S Assisting Living Facility IV LLC
• Carmita'S Home Health, Inc.
• Carmita'S Home Health, Inc.II
• Jaclyn Carmody, LCSW
• Dayaris Carmona Oliva, RBT - 25 - 459883

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.