Provider Demographics
NPI:1417482118
Name:CARTER CARE SERVICES AND TRANSPORTATION
Entity Type:Organization
Organization Name:CARTER CARE SERVICES AND TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIREONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:IVORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-464-9411
Mailing Address - Street 1:15403 PLANTATION OAKS DR
Mailing Address - Street 2:APT. 4
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2162
Mailing Address - Country:US
Mailing Address - Phone:813-464-9411
Mailing Address - Fax:
Practice Address - Street 1:15403 PLANTATION OAKS DR
Practice Address - Street 2:APT. 4
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2162
Practice Address - Country:US
Practice Address - Phone:813-464-9411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLI160011898270347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle