Carletta Eedsel Horne, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

230015223331110 Issued in MI

Practice address

3079 S Baldwin Rd Ste 1050
Lake Orion, MI 48359-1028

Phone

(248) 636-2192

NPI assigned

Mar 29, 2019

Last updated

Mar 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P.I.L. Concierge Services LLC

  dba Promoting Independent Living

  • Home Health Registered Nurse
  • Flint, MI
  • NPI 1487595161
  NPD Authorized official
• Promoting Independent Living Concierge

  • Home Health Agency
  • Flint, MI
  • NPI 1518827906
  NPD Authorized official
• Promoting Independent Living Concierge

  dba P.I.L. Concierge Services LLC

  • Home Health Agency
  • Lake Orion, MI
  • NPI 1689136210
  NPD Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1841751062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 S BALDWIN RD STE 1050",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591028",
            "telephone_number": "248-636-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 S BALDWIN RD STE 1050",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591028",
            "telephone_number": "248-636-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "CARLETTA",
        "middle_name": "EEDSEL",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230015223331110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA LICENSE",
            "identifier": "230015223331110",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA LICENSE NUMBER",
            "identifier": "230015223331110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tone I Holland, LPC, MA
• Gary P Holloway, D.O.
• Bryan Holt, LLPC
• Home Foot Care, P.C.
• Alexa Hongisto
• Claire Horton
• Sandra Howes
• Samantha Anne Howey
• Elysia Michelle Huereca
• Ibadat Care Services LLC (Amada Senior Care Lake Orion)

• Nurse's Aide in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.