MEDICARE: CARSTEL HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669871760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARSTEL HEALTH, INC.

Provider Business Mailing Address
First Line	:	502 GALLOWAY AVE
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-8319
Country	:	US
Telephone Number	:	386-574-5764
Fax Number	:	386-575-2869

Provider Business Practice Location Address
First Line	:	502 GALLOWAY AVE
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-8319
Country	:	US
Telephone Number	:	386-574-5764
Fax Number	:	386-575-2869

Authorized Official
Title or Position	:	OWNER / OPERATOR
Name	:	MRS. LUZ ESTELLA HURTADO
Credential	:
Telephone Number	:	386-574-5764

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	08/20/2014

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Directions to “CARSTEL HEALTH, INC. ” Practice Location

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