Organization Active NPI

Carters Confident Care

  • Home Health Aide
  • Lake City, FL
National Provider Identifier
1104545953
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CARTERS CONFIDENT CARE
Practice address
678 SE Baya Dr
Lake City, FL 32025-6038
Phone
(386) 361-3839
Fax
(386) 381-1099
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Blenda A Jones Carter, RNNPI 1740932250
Title
Administrator
Phone
(386) 438-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
In Home Supportive Care Agency 253Z00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

678 SE Baya Dr
Lake City, FL 32025-6038

Mailing address

678 SE Baya Dr
Lake City, FL 32025-6038
Phone (386) 361-3839

Other names 1

  • Carter's Confident Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2293239Carter'S Confident Care LLC678 SE Baya Dr, Lake City, FL 32025Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

226 S Marion Ave
Lake City, FL 32025
Phone (866) 332-5682

678 SE Baya Dr
Lake City, FL 32025
Phone (229) 319-6755

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1104545953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256038",
            "telephone_number": "386-361-3839",
            "fax_number": "386-381-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256038",
            "telephone_number": "386-361-3839",
            "fax_number": "386-381-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERS CONFIDENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "JONES CARTER",
        "authorized_official_first_name": "BLENDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-438-4488",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carter's Confident Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carter's Confident Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.