Healthcare Provider Details

I. General information

NPI: 1598371015
Provider Name (Legal Business Name): CARNEGIE CARES HOME CARE & SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 09/21/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 ROSE PETAL PLACE
RIVERVIEW FL
33578
US

IV. Provider business mailing address

1004 ROSE PETAL PLACE
RIVERVIEW FL
33578
US

V. Phone/Fax

Practice location:
  • Phone: 813-410-9260
  • Fax:
Mailing address:
  • Phone: 813-410-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHERMEKA CARNEGIE
Title or Position: OWNER
Credential:
Phone: 813-410-9260