Active NPI
Care and Life Skilled Services LLC
- Home Health Agency
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Life
- Overall star rating
- Ownership
- -
- Certified
- Sep 7, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2227784 | Care and Life Skilled Services LLC | Certificate of waiver | Jun 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Augustina Bautista | 5% Or Greater Direct Ownership Interest | Nov 5, 2020 | 50% |
| Corporate Director | Nov 5, 2020 | 50% | |
| W-2 Managing Employee | Nov 5, 2020 | 50% | |
| Mildrey Figuerola | 5% Or Greater Direct Ownership Interest | Nov 5, 2020 | 50% |
| Corporate Director | Nov 5, 2020 | 50% | |
| W-2 Managing Employee | Nov 5, 2020 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Kissimmee, FL
- NPI 1497959886
Home health agency
-
- Family Nurse Practitioner
- Lake Wales, FL
- NPI 1326684713
Home health agency
-
- Foot & Ankle Surgery Podiatrist
- Lakeland, FL
- NPI 1003884917
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.