NPIMap

Organization Active NPI

Carecommunity Inc.

Doing business as CareCommunity HomeCare

  • In Home Supportive Care Agency
  • Fort Myers, FL
National Provider Identifier
1215327093
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
233813 Issued in FL
Legal business name
CARECOMMUNITY INC.
Doing business as
CareCommunity HomeCare
Practice address
4066 Evans Ave Ste 4
Fort Myers, FL 33901
Phone
(239) 989-7474
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Mr. Dameon N Bonner
Title
Ceo
Phone
(239) 989-7474

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
In Home Supportive Care Agency 253Z00000X 233813 FL Primary
Adult Care Home Facility 311ZA0620X
Respite Care 385H00000X

Addresses

Primary practice location

4066 Evans Ave Ste 4
Fort Myers, FL 33901

Mailing address

4066 Evans Ave Ste 4
Fort Myers, FL 33901
Phone (239) 989-7474

Other names 1

  • CareCommunity HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carecommunity Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1215327093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-989-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-989-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECOMMUNITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "DAMEON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-989-7474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233813",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareCommunity HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.