Healthcare Provider Details

I. General information

NPI: 1750146940
Provider Name (Legal Business Name): CARTER CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10909 BRICKSIDE CT
RIVERVIEW FL
33579-4265
US

IV. Provider business mailing address

10909 BRICKSIDE CT
RIVERVIEW FL
33579-4265
US

V. Phone/Fax

Practice location:
  • Phone: 386-338-8931
  • Fax:
Mailing address:
  • Phone: 386-338-8931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANA M CARTER
Title or Position: OWNER
Credential:
Phone: 386-338-8931