Organization Active NPI

Woodberry Cares LLC

  • Assisted Living Facility
  • Kissimmee, FL
National Provider Identifier
1386531655
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WOODBERRY CARES LLC
Doing business as
Wooberry Cares LLC
Practice address
3445 Woodberry CT
Kissimmee, FL 34746-3050
Phone
(407) 201-2772
Fax
(407) 201-2772
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Kerine Black
Title
Manager
Phone
(813) 317-8805

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary
Adult Companion 372600000X

Addresses

Primary practice location

3445 Woodberry CT
Kissimmee, FL 34746-3050

Mailing address

19046 Bruce B Downs Blvd Ste B6
Tampa, FL 33647-2434
Phone (813) 317-8805

Other names 1

  • Wooberry Cares LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wooberry Cares 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.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1386531655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19046 BRUCE B DOWNS BLVD STE B6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472434",
            "telephone_number": "813-317-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 WOODBERRY CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463050",
            "telephone_number": "407-201-2772",
            "fax_number": "407-201-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBERRY CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KERINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-317-8805"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wooberry Cares LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.