Carmita's Assisting Living Facility IV LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12807 Issued in FL

Legal business name

CARMITA'S ASSISTING LIVING FACILITY IV LLC

Practice address

1103 Marscastle Ave
Orlando, FL 32812-1984

Phone

(407) 432-6785

Fax

(321) 245-7895

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By 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

Jesus PrietoNPI 1154707610

Title

Owner/Administrator

Phone

(407) 432-6785

Specialties & licenses 1

Addresses

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.

• Jesus Prieto

  • Community Health Worker
  • Orlando, FL
  • NPI 1154707610
  Authorized official Same address or phone

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1932561107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 MARSCASTLE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121984",
            "telephone_number": "407-432-6785",
            "fax_number": "321-245-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 MARSCASTLE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121984",
            "telephone_number": "407-432-6785",
            "fax_number": "321-245-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMITA'S ASSISTING LIVING FACILITY IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-432-6785"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lee Carmalt, COTA
• Cerenity Carmichael, LMHC
• Kristina Angela Carmichael, ARNP
• Carmita's Assisted Living Facility II LLC
• Carmita's Assisting Living Facility III LLC
• Carmita's Home Health, Inc.
• Carmita's Home Health, Inc.II
• Jaclyn Carmody, LCSW
• Dayaris Carmona Oliva, RBT - 25 - 459883
• Beatriz Elizabeth Carmona Toro, ARNP

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, 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 25, 2016; 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.