Carist LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

CARIST LLC

Practice address

2911 Gill St Ste A1
Bloomington, IL 61704-8557

Phone

(309) 590-6067

NPI assigned

Feb 3, 2023

Last updated

Jul 6, 2023By 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

Kristin Clay

Title

Managing Member

Phone

(309) 590-6067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1861198558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 GILL ST STE A1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048557",
            "telephone_number": "309-590-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 GILL ST STE A1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048557",
            "telephone_number": "309-590-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "309-590-6067"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.