Organization Active NPI

Care and Life Skilled Services LLC

  • Home Health Agency
  • Lakeland, FL
National Provider Identifier
1154911089
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE AND LIFE SKILLED SERVICES LLC
Practice address
230 W Highland Dr
Lakeland, FL 33813-1541
Phone
(863) 940-4938
Fax
(863) 510-5359
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Mildrey Figuerola
Title
Owner
Phone
(863) 940-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

230 W Highland Dr
Lakeland, FL 33813-1541

Mailing address

230 W Highland Dr
Lakeland, FL 33813-1541
Phone (863) 940-4938

Other names 1

  • Care and Life Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220127001179 FL Part A Provider - Home Health Agency 6507258308 Practice locations: Lakeland, FL

Home health agency certification: CCN 687206

Legal name
CARE AND LIFE SKILLED SERVICES LLC
Doing business as
CARE AND LIFE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 7, 2022
Last certification
Sep 1, 2022
Organization structure
LLCProprietary
Incorporated
Nov 5, 2020 in FL
Enrollment address
230 W Highland Dr
Lakeland, FL 33813-1541

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care and LifeCCN 687206
Overall star rating
2.5 of 5
Ownership
-
Certified
Sep 7, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2227784Care and Life Skilled Services LLC230 W Highland Dr, Lakeland, FL 33813Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

230 W Highland Dr
Lakeland, FL 33813
Phone (863) 940-4938

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Augustina Bautista Individual 5% Or Greater Direct Ownership Interest Nov 5, 2020 50%
Corporate DirectorCeo, Alternate Administrator Nov 5, 2020 50%
W-2 Managing Employee Nov 5, 2020 50%
Mildrey Figuerola Individual 5% Or Greater Direct Ownership Interest Nov 5, 2020 50%
Corporate DirectorPresident, Alt. Administrator Nov 5, 2020 50%
W-2 Managing EmployeePresident, Alt. Administrator Nov 5, 2020 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1154911089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131541",
            "telephone_number": "863-940-4938",
            "fax_number": "863-510-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131541",
            "telephone_number": "863-940-4938",
            "fax_number": "863-510-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AND LIFE SKILLED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "FIGUEROLA",
        "authorized_official_first_name": "MILDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-940-4938"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care and Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.