Organization Active NPI

Woodberry Cares LLC

  • Home Health Aide
  • Kissimmee, FL
National Provider Identifier
1629994488
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on Jun 25, 2026

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)CodeLicenseStatePrimary
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 CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 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 LLC2 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.

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.

Verify at the official NPI Registry.