Patricia Julie Carvil, BA, MS

Key facts

NPI

1467949347

Entity type

Individual (NPI type 1)

Primary specialty

Developmentally Disabled Services Day Training Agency 251C00000X

Practice address

1311 NE 210TH Ter
Miami, FL 33179-3317

Phone

(786) 214-2026

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Adaptive Behavioral Health LLC Developmentally Disabled Services Day Training Agency · Rockledge, FL · NPI 1700614930
  NPD Authorized official DAY TRAINING, DEVELOPMENTALLY DISABLED SERVICES
• Carvil'S Professional Service Developmentally Disabled Services Day Training Agency · Miami, FL · NPI 1588152268
  NPD Authorized official DAY TRAINING, DEVELOPMENTALLY DISABLED SERVICES

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Bachelor of Arts, Master of Science

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 20, 2018.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1467949347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 NE 210TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792030",
            "telephone_number": "786-214-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 NE 210TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793317",
            "telephone_number": "786-214-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVIL",
        "first_name": "PATRICIA",
        "middle_name": "JULIE",
        "credential": "BA, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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