Provider Demographics
NPI:1588226351
Name:CARRIE'S COMFORTING CARE INC.
Entity Type:Organization
Organization Name:CARRIE'S COMFORTING CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:ROSALYN
Authorized Official - Last Name:BRINSON
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:352-454-9645
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34489-0374
Mailing Address - Country:US
Mailing Address - Phone:352-454-9645
Mailing Address - Fax:
Practice Address - Street 1:2574 NE 43RD RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3301
Practice Address - Country:US
Practice Address - Phone:352-421-5493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL236066OtherHOMEMAKER AND COMPANION LICENSURE