Healthcare Provider Details

I. General information

NPI: 1023933686
Provider Name (Legal Business Name): CARMEN M MCCARTHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3821 SARAZEN DR
NEW PORT RICHEY FL
34655-2027
US

IV. Provider business mailing address

3821 SARAZEN DR
NEW PORT RICHEY FL
34655-2027
US

V. Phone/Fax

Practice location:
  • Phone: 727-815-5577
  • Fax:
Mailing address:
  • Phone: 727-815-5577
  • Fax: 727-232-2302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: