Healthcare Provider Details

I. General information

NPI: 1487575387
Provider Name (Legal Business Name): CAREISMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 OXFORD ST APT 507
BERKELEY CA
94704-5301
US

IV. Provider business mailing address

3477 MCKEE RD PMB 1017
SAN JOSE CA
95127-2233
US

V. Phone/Fax

Practice location:
  • Phone: 408-303-6664
  • Fax:
Mailing address:
  • Phone: 408-303-6664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: CAMILLE CARNEY
Title or Position: CEO
Credential:
Phone: 408-372-6763