Clear Waters Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1980L001 Issued in NY

Legal business name

CLEAR WATERS HOME CARE SERVICES LLC

Practice address

40 Grove St Ste 105
Middletown, NY 10940-4873

Phone

(845) 313-9268

Fax

(845) 355-2193

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Folake Latinwo

Title

President/Coo

Phone

(845) 343-4881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104349588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GROVE ST STE 105",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404873",
            "telephone_number": "845-313-9268",
            "fax_number": "845-355-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GROVE ST STE 105",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404873",
            "telephone_number": "845-313-9268",
            "fax_number": "845-355-2193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Grove St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109404873",
            "country_code": "US",
            "telephone_number": "845-313-9268",
            "fax_number": "845-355-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR WATERS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LATINWO",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "845-343-4881"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1980L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Citriniti
• Ursula Clancy, FNP
• Kimberly Clarke
• Marie Claude
• Jenna Lee Clayton, PHARMD
• Alexandra Cleary
• Tiasha M Coakley, RN
• Abigail R Coatney, M.S. ED
• Dale M Cobey, FNP
• Miranda Rose Cobo

• Home Health Agency in Middletown, NY
• Providers in Middletown, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.