Carlson Hamilton

Individual provider Active NPI In Home Supportive Care Agency · Frostproof, FL

NPI 1255977690 · NPPES record last updated Nov 20, 2019

Key facts

NPI
1255977690
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
28 Attucks Cir
Frostproof, FL 33843-9621
Phone
(386) 882-6747
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Queen Sheila In Home Supportive Care Current
since Feb 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

28 Attucks Cir
Frostproof, FL 33843-9621

Mailing address

28 Attucks Cir
Frostproof, FL 33843-9621
Phone (386) 882-6747

Other providers in Frostproof, FL

All providers in Frostproof, FL · In Home Supportive Care Agency in Florida

Sources for this page

Verify at the official NPI Registry.