Healthcare Provider Details

I. General information

NPI: 1043728348
Provider Name (Legal Business Name): CAREAMERICA.ORG, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2018
Last Update Date: 01/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 CROTON RD
MELBOURNE FL
32935-3272
US

IV. Provider business mailing address

1660 CROTON RD
MELBOURNE FL
32935-3272
US

V. Phone/Fax

Practice location:
  • Phone: 321-345-0555
  • Fax: 321-222-1342
Mailing address:
  • Phone: 321-345-0555
  • Fax: 321-222-1342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number233940
License Number StateFL

VIII. Authorized Official

Name: COLLEEN HAPPENNY
Title or Position: PRESIDENT
Credential:
Phone: 321-345-0555