Carecommunity Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

233813 Issued in FL

Legal business name

CARECOMMUNITY INC.

Doing business as

CareCommunity HomeCare

Practice address

4066 Evans Ave
Suite 18
Fort Myers, FL 33901-9384

Phone

(239) 989-7474

NPI assigned

Jul 2, 2015

Last updated

Jul 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dameon N Bonner

Title

Ceo/Director

Phone

(239) 989-7474

Specialties & licenses 5

Addresses

Other names 1

• CareCommunity HomeCare Doing business as

Tax ID family

Carecommunity Homecare2 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.

• Carecommunity Inc.

  dba CareCommunity HomeCare

  • In Home Supportive Care Agency
  • Fort Myers, FL
  • NPI 1215327093
  NPD tax ID

Locations

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1508249996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE",
            "address_2": "STE #4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019384",
            "telephone_number": "239-989-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE",
            "address_2": "SUITE 18",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019384",
            "telephone_number": "239-989-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECOMMUNITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "DAMEON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "239-989-7474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "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": "233813",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "233813",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareCommunity HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.