=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841589496
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING ABOUT YOU SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2011
-----------------------------------------------------
Last Update Date | 08/01/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2224 HEMERICK PL
-----------------------------------------------------
City | CLEARWATER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33765-2227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-773-6286
-----------------------------------------------------
Fax | 888-556-6392
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4898
-----------------------------------------------------
City | CLEARWATER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33758-4898
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-773-6286
-----------------------------------------------------
Fax | 888-556-6392
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. TRACEY LEE ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 727-773-6286
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 302F00000X
-----------------------------------------------------
Taxonomy Name | Exclusive Provider Organization
-----------------------------------------------------
License Number | L10000018885
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------