NPIMap

Organization Active NPI

Care Agency LLC

  • Health Service Clinic/Center
  • Sun City Center, FL
National Provider Identifier
1912411836
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CARE AGENCY LLC
Practice address
137 S Pebble Beach Blvd Ste 101
Sun City Center, FL 33573-5708
Phone
(888) 899-8665
Fax
(772) 209-5970
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Thalia ShurnsNPI 1679277206
Title
Owner
Phone
(772) 538-5008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Health Service Clinic/Center 261QH0100X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

137 S Pebble Beach Blvd Ste 101
Sun City Center, FL 33573-5708

Mailing address

137 S Pebble Beach Blvd Ste 101
Sun City Center, FL 33573-5708
Phone (888) 899-8665

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Optimantra Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1912411836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S PEBBLE BEACH BLVD STE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735708",
            "telephone_number": "888-899-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S PEBBLE BEACH BLVD STE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735708",
            "telephone_number": "888-899-8665",
            "fax_number": "772-209-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "SHURNS",
        "authorized_official_first_name": "THALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-538-5008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Optimantra",
            "affiliation": "N",
            "endpointDescription": "health database",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "137 S Pebble Beach Blvd Ste 101",
            "city": "Sun City Center",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335735708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

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