Provider Demographics
NPI:1366183840
Name:CARRIES CARE FAMILY HOME
Entity type:Organization
Organization Name:CARRIES CARE FAMILY HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-534-2904
Mailing Address - Street 1:1106 E RICHMERE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-8552
Mailing Address - Country:US
Mailing Address - Phone:954-534-2904
Mailing Address - Fax:866-305-6709
Practice Address - Street 1:1106 E RICHMERE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-8552
Practice Address - Country:US
Practice Address - Phone:954-534-2904
Practice Address - Fax:866-305-6709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home