Organization Active NPI

Carmen Care Service LLC

  • Home Health Aide
  • Casselberry, FL
National Provider Identifier
1528544871
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
3987 Issued in FL
Legal business name
CARMEN CARE SERVICE LLC
Practice address
492 B St
Casselberry, FL 32707-3080
Phone
(407) 733-9049
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Ms. Carmen Mora, CNA , HHA
Title
Owner
Phone
(407) 733-9049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X 3987 FL Primary

Addresses

Primary practice location

492 B St
Casselberry, FL 32707-3080

Mailing address

492 B St
Casselberry, FL 32707-3080
Phone (407) 733-9049

Other names 1

  • CARMEN CARE SERVICE Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1528544871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 B ST",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073080",
            "telephone_number": "407-733-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 B ST",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073080",
            "telephone_number": "407-733-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-733-9049",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA , HHA"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "3987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARMEN CARE SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.