Organization Active NPI

Kerrington'S Care Academy Inc

  • Personal Care Attendant
  • Leesburg, FL
National Provider Identifier
1053133207
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
KERRINGTON'S CARE ACADEMY INC
Practice address
920 County Road 468
Leesburg, FL 34748-9710
Phone
(352) 409-0919
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Wandretta L Dudley
Title
President
Phone
(352) 409-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

920 County Road 468
Leesburg, FL 34748-9710

Mailing address

1500 Vine St
Leesburg, FL 34748-5637
Phone (352) 409-0919

Other names 1

  • Kerrington's Care Academy Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kerrington'S Care Academy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

920 County Road 468
Leesburg, FL 34748
Phone (352) 409-0919

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1053133207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 VINE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485637",
            "telephone_number": "352-409-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTY ROAD 468",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489710",
            "telephone_number": "352-409-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRINGTON'S CARE ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "WANDRETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-409-0919"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerrington's Care Academy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.