Active NPI
Carmen Care Service LLC
- Home Health Aide
- Casselberry, FL
National Provider Identifier
1528544871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 3987
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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
National Provider Directory
National Provider DirectoryNPI 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.