Active NPI
Woodberry Cares LLC
- Home Health Aide
- Kissimmee, FL
National Provider Identifier
1629994488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- WOODBERRY CARES LLC
- Practice address
- 3445 Woodberry CT
Kissimmee, FL 34746-3050 - Phone
- (407) 201-2772
- NPI assigned
- Jun 25, 2026
- 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
- Kerine Black
- Title
- Manager
- Phone
- (813) 317-8805
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
3445 Woodberry CT
Kissimmee, FL 34746-3050
Mailing address
19046 Bruce B Downs Blvd Ste B6
Tampa, FL 33647-2434
Phone (813) 317-8805
Other practice location 1
10722 Pictorial Park Dr
Tampa, FL 33647-2567
Phone (813) 317-8805
National Provider Directory
National Provider Directory- Tax ID family
- Wooberry Cares LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Kissimmee, FL
- NPI 1386531655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1629994488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19046 BRUCE B DOWNS BLVD STE B6",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472434",
"telephone_number": "813-317-8805",
"fax_number": "813-317-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 WOODBERRY CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463050",
"telephone_number": "407-201-2772"
}
],
"practiceLocations": [
{
"address_1": "10722 Pictorial Park Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336472567",
"country_code": "US",
"telephone_number": "813-317-8805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WOODBERRY CARES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "KERINE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "813-317-8805"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.