Carolina Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10753 Issued in FL

Legal business name

CAROLINA CARE

Practice address

2460 Kathi Kim St
Cocoa, FL 32926-5372

Phone

(332) 144-9963

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Mary Georrges

Title

Manager

Phone

(321) 449-9639

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1902149875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541421",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329541421",
            "telephone_number": "321-449-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 KATHI KIM ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265372",
            "telephone_number": "332-144-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "GEORRGES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-449-9639"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Mack Caldwell, REGISTERED NURSE
• Alissa G Cannon
• Robert Lee Cannon
• Care4Ucaregiversllc
• Careatc - City of Cocoa
• Michele Cassel
• Tanya Castillo
• Casual Country Living Inc.
• Catrina Pauley, LMHC
• CCHC Inc

• Assisted Living Facility in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.