Carters Healthcare Professionals LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CARTERS HEALTHCARE PROFESSIONALS LLC

Practice address

187 Live Oak Ave
Ormond Beach, FL 32174-6327

Phone

(386) 675-9151

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Jazmine CarterNPI 1083200356

Title

Owner

Phone

(386) 675-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Carters Healthcare Professionals LLC2 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.

• Carters Healthcare Professionals LLC

  • Home Health Agency
  • Ormond Beach, FL
  • NPI 1760286546
  NPD tax ID

Practitioners 1

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

• Jazmine Carter

  • Home Health Agency
  • Ormond Beach, FL
  • NPI 1083200356

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1356937650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 LIVE OAK AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746327",
            "telephone_number": "386-675-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 LIVE OAK AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746327",
            "telephone_number": "386-675-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERS HEALTHCARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-675-9151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108316700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cj3721@icloud.com",
            "affiliation": "N",
            "address_1": "187 Live Oak Ave",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321746327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carl W Lentz III, M.D., P.a.
• David Earl Carn, PT
• David Wesley Carpenter, MD
• Haley Nicole Carper, CCC-SLP
• Jazmine Carter
• Carters Healthcare Professionals LLC
• Thomas H. Cartledge III, D.D.S., M.S.
• Case Vision Associates PA
• Jessy Casimiro, M.D.
• Catalan & Associates Inc

• All providers in Ormond Beach, FL
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.