Community Experiences LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY EXPERIENCES LLC

Practice address

321 N Devillers St Suite 221
Pensacola, FL 32502

Phone

(850) 261-8403

Fax

(850) 458-8177

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By 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

Tracy L Carreola

Title

Director/Owner

Phone

(850) 261-8403

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1639579568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 LITTLE CREEK LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325068262",
            "telephone_number": "850-261-8403",
            "fax_number": "850-458-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N DEVILLERS ST SUITE 221",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-261-8403",
            "fax_number": "850-458-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EXPERIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "CARREOLA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "850-261-8403"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002217700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686104196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comfortable Care Dental Health Professionals, P.a. (Bayview Dental Care)
• Comforting Hands Home and Companion
• Jeffrey Brian Comitalo, M.D.
• Bruce F Common, LMT
• Community Birth Group
• Community Motivations Support Services
• Community Success Behavioral Health Inc
• Community Success Inc (Healing Families of Addiction)
• Communnity Drug and Alcohol Council, Inc.
• Compassionate Caregivers, LLC

• Home Health Agency in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.