=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619846359
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIMESME LLC D/B/A CAREPATROL OF NORTH TAMPA BAY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/31/2025
-----------------------------------------------------
Last Update Date | 10/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19101 CORTEZ BLVD # 10116
-----------------------------------------------------
City | BROOKSVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34601-3013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-501-2002
-----------------------------------------------------
Fax | 813-507-5255
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 19101 CORTEZ BLVD # 10116
-----------------------------------------------------
City | BROOKSVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34601-3013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-501-2002
-----------------------------------------------------
Fax | 813-507-5255
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | ALTHEA MORGAN
-----------------------------------------------------
Credential | CSA
-----------------------------------------------------
Telephone | 813-501-2002
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------