Healthcare Provider Details

I. General information

NPI: 1841933611
Provider Name (Legal Business Name): MRS. CONNIE ARNETRA SETTLES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. CONNIE ARNETRA HARRIS

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11879 DOWNY BIRCH DR
RIVERVIEW FL
33569-5544
US

IV. Provider business mailing address

11879 DOWNY BIRCH DR
RIVERVIEW FL
33569-5544
US

V. Phone/Fax

Practice location:
  • Phone: 813-300-6135
  • Fax:
Mailing address:
  • Phone: 813-665-0766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number234203
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: