Active NPI
Care and Life Services LLC
- Home Health Agency
- Orlando, FL
National Provider Identifier
1992316780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- -
- Certified
- Jan 21, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Augustina Bautista | 5% Or Greater Direct Ownership Interest | Jul 31, 2020 | 50% |
| Corporate Officer | Jul 31, 2020 | ||
| Corporate Director | Jul 31, 2020 | 50% | |
| W-2 Managing Employee | Jul 31, 2020 | 50% | |
| Mildrey Figuerola | 5% Or Greater Direct Ownership Interest | Jul 31, 2020 | 50% |
| Corporate Director | Jul 31, 2020 | 50% | |
| W-2 Managing Employee | Jul 31, 2020 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Kissimmee, FL
- NPI 1497959886
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.