MEDICARE: CARLA CARES07 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1881531721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLA CARES07 LLC

Provider Business Mailing Address
First Line	:	2607 E 10TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-4101
Country	:	US
Telephone Number	:	813-802-1370
Fax Number	:

Provider Business Practice Location Address
First Line	:	2607 E 10TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-4101
Country	:	US
Telephone Number	:	813-802-1370
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CARLA WILLIAMS
Credential	:
Telephone Number	:	813-802-1370

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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Directions to “CARLA CARES07 LLC ” Practice Location

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