Carline Elizabeth Proux, NA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

232051 Issued in FL

Practice address

4929 Hungary Rd
North Port, FL 34288-8744

Phone

(941) 412-7530

Fax

(800) 403-7521

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1326390683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 HUNGARY RD",
            "address_2": "4055 TAMIAMI TRL SUITE 15",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888744",
            "telephone_number": "941-412-7530",
            "fax_number": "800-403-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 HUNGARY RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888744",
            "telephone_number": "941-412-7530",
            "fax_number": "800-403-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUX",
        "first_name": "CARLINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "232051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Port, FL
• Providers in North Port, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.