Healthcare Provider Details

I. General information

NPI: 1841031689
Provider Name (Legal Business Name): CARTER'S CARE SERVICE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2326 SW 34TH PL APT D
GAINESVILLE FL
32608-2845
US

IV. Provider business mailing address

2326 SW 34TH PL APT D
GAINESVILLE FL
32608-2845
US

V. Phone/Fax

Practice location:
  • Phone: 352-222-3579
  • Fax:
Mailing address:
  • Phone: 352-222-3579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SANTERRIA HOPKINS
Title or Position: CEO/ OWNER
Credential:
Phone: 352-733-8158