Organization Active NPI

Flamingo in-Home Care

Doing business as Alta Living Care

  • In Home Supportive Care Agency
  • Wimauma, FL
National Provider Identifier
1407774565
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FLAMINGO IN-HOME CARE
Doing business as
Alta Living Care
Practice address
15234 McGrady Rd
Wimauma, FL 33598-5555
Phone
(540) 487-9675
NPI assigned
Jul 7, 2026
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTA LIVING CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Nathan Carroll
Title
Admin
Phone
(480) 205-3051

Specialties & licenses 1

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

Addresses

Primary practice location

15234 McGrady Rd
Wimauma, FL 33598-5555

Mailing address

15234 McGrady Rd
Wimauma, FL 33598-5555
Phone (540) 487-9675

Other names 1

  • Alta Living Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1407774565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15234 MCGRADY RD",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335985555",
            "telephone_number": "540-487-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15234 MCGRADY RD",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335985555",
            "telephone_number": "540-487-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO IN-HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTA LIVING CARE",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "480-205-3051"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Living Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.