Organization Active NPI

Carecommunity Homecare LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1881097715
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARECOMMUNITY HOMECARE LLC
Practice address
4066 Evans Ave Ste 18
Fort Myers, FL 33901-9396
Phone
(239) 989-7474
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Mr. Dameon N Bonner
Title
President/Owner
Phone
(239) 989-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

4066 Evans Ave Ste 18
Fort Myers, FL 33901-9396

Mailing address

4066 Evans Ave Ste 18
Fort Myers, FL 33901-9396
Phone (239) 989-7474

National Provider Directory

National Provider Directory

Locations

4066 Evans Ave
Ste 18
Fort Myers, FL 33901
Phone (239) 939-0073

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1881097715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE STE 18",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019396",
            "telephone_number": "239-989-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 EVANS AVE STE 18",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019396",
            "telephone_number": "239-989-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECOMMUNITY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "DAMEON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "239-989-7474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.