Organization Active NPI

Care and Life Services LLC

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1992316780
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE AND LIFE SERVICES LLC
Practice address
7061 Grand National Dr Ste 137
Orlando, FL 32819-8906
Phone
(863) 940-4938
Fax
(833) 371-1892
NPI assigned
Aug 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Mildrey Figuerola
Title
Owner/Coo/Admin
Phone
(863) 940-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7061 Grand National Dr Ste 137
Orlando, FL 32819-8906

Mailing address

230 W Highland Dr
Lakeland, FL 33813-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210312000367 FL Part A Provider - Home Health Agency 3072929215 Practice locations: Orlando, FL

Home health agency certification: CCN 687158

Legal name
CARE AND LIFE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 21, 2022
Last certification
Dec 29, 2021
Organization structure
LLCProprietary
Incorporated
Jul 31, 2020 in FL
Enrollment address
7061 Grand National Dr
Ste 137
Orlando, FL 32819-8906

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care and Life Services LLCCCN 687158
Overall star rating
2.5 of 5
Ownership
-
Certified
Jan 21, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

722 Patrick St
Ste 205
Kissimmee, FL 34741
Phone (863) 940-4938

7061 Grand National Dr
Ste 137
Orlando, FL 32819
Phone (863) 940-4938

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Augustina Bautista Individual 5% Or Greater Direct Ownership Interest Jul 31, 2020 50%
Corporate Officer Jul 31, 2020
Corporate DirectorBoard Member, Ceo Jul 31, 2020 50%
W-2 Managing EmployeeBoard Member, Ceo Jul 31, 2020 50%
Mildrey Figuerola Individual 5% Or Greater Direct Ownership Interest Jul 31, 2020 50%
Corporate DirectorBoard Member, Coo Jul 31, 2020 50%
W-2 Managing EmployeeBoard Member, Coo Jul 31, 2020 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1992316780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 GRAND NATIONAL DR STE 137",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198906",
            "telephone_number": "863-940-4938",
            "fax_number": "833-371-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AND LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "FIGUEROLA",
        "authorized_official_first_name": "MILDREY",
        "authorized_official_title_or_position": "OWNER/COO/ADMIN",
        "authorized_official_telephone_number": "863-940-4938"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.