Active NPI
Janete Carr
- Adult Companion
- Lake Worth, FL
National Provider Identifier
1316611825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 6261 Wauconda Way W
Lake Worth, FL 33463 - Phone
- (561) 577-0893
- NPI assigned
- Aug 7, 2021
- 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 |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
6261 Wauconda Way W
Lake Worth, FL 33463
Mailing address
6261 Wauconda Way W
Lake Worth, FL 33463
Phone (561) 577-0893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | heavenlyvirtues1@gmail.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heavenly Virtues, LLC | Respite Care, Intellectual and/Or Developmental Disabilities, Child | Past | Accepting new patients |
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.
-
- Developmental Disabilities Clinic/Center
- Lake Worth, FL
- NPI 1659720902
Respite Care, Intellectual and/Or Developmental Disabilities, Child
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628294400000",
"number": "1316611825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6261 WAUCONDA WAY W",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33463",
"telephone_number": "561-577-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6261 WAUCONDA WAY W",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33463",
"telephone_number": "561-577-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "JANETE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-07",
"last_updated": "2021-08-07",
"certification_date": "2021-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "heavenlyvirtues1@gmail.com",
"affiliation": "N",
"address_1": "6261 Wauconda Way W",
"city": "Lake Worth",
"state": "FL",
"country_code": "US",
"postal_code": "33463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.