NPIMap

Organization Active NPI

Carmita'S Care Assisted Living Facility LLC

  • Assisted Living Facility
  • Rockledge, FL
National Provider Identifier
1225611809
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARMITA'S CARE ASSISTED LIVING FACILITY LLC
Practice address
962 Pineland Dr
Rockledge, FL 32955-3553
Phone
(407) 797-9008
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Alejandra ClarkNPI 1518807403
Title
Owner
Phone
(407) 797-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

962 Pineland Dr
Rockledge, FL 32955-3553

Mailing address

962 Pineland Dr
Rockledge, FL 32955-3553
Phone (407) 797-9008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1225611809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 PINELAND DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553553",
            "telephone_number": "407-797-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 PINELAND DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553553",
            "telephone_number": "407-797-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMITA'S CARE ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-797-9008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.