Active NPI
Carolyn Farrell
- Homemaker
- Clewiston, FL
National Provider Identifier
1154968329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 236484
- Practice address
- 571 Merit St
Clewiston, FL 33440-5482 - Phone
- (754) 317-2061
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Homemaker | 376J00000X | 236484 | FL | Primary |
Addresses
Primary practice location
571 Merit St
Clewiston, FL 33440-5482
Mailing address
515 W Haiti Ave
Clewiston, FL 33440-4316
Phone (754) 317-2061
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlc@tlchomehealth.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236484 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1154968329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W HAITI AVE",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334404316",
"telephone_number": "754-317-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 MERIT ST",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334405482",
"telephone_number": "754-317-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "236484",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlc@tlchomehealth.net",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "515 W Haiti Ave",
"city": "Clewiston",
"state": "FL",
"country_code": "US",
"postal_code": "334404316",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clewiston, FL
- Elite Healthcare Center PA
- Emcare Physician Providers, Inc.
- Eye Associates of Manatee LLP
- Laura Elizabeth Fabian, R.N.
- Family Home Adult Care Inc
- First Health Resources Corporation
- Jean Rodriguez Fleurinor, M.D.
- Florida Community Health Centers Inc
- Florida Community Health Centers, Inc.
- Florida Elder Care & Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.