Carrolls Community Care

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

370802857 Issued in CA

Legal business name

CARROLLS COMMUNITY CARE

Practice address

523 Emerald Ave
El Cajon, CA 92020-5005

Phone

(619) 442-8893

Fax

(619) 442-6049

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Michelle Nicol Furtado

Title

Administrator

Phone

(619) 442-8893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1154554038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 EMERALD AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205005",
            "telephone_number": "619-442-8893",
            "fax_number": "619-442-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 EMERALD AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205005",
            "telephone_number": "619-442-8893",
            "fax_number": "619-442-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLS COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "FURTADO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NICOL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-442-8893"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "370802857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Lynn Carr
• Danielle Carrillo, LCSW
• Gisselle Carrillo
• Paula Angelina Carrillo
• Rebecca Ann Carroll, FNP
• Carrolls Community Care
• Brian Paul Carter
• Jonathan Carter
• Laura A. Carter, PHN
• Marilyn A Carter, OD

• Assisted Living Facility (Mental Illness) in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.