Provider Demographics
NPI:1629233432
Name:CAROLINA'S CARE CENTER, CORP.
Entity Type:Organization
Organization Name:CAROLINA'S CARE CENTER, CORP.
Other - Org Name:CAROLINA'S CARE CENTER CORP #III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SILVESTRE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SOCARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-985-3040
Mailing Address - Street 1:8100 WEST 12 AVENUE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014
Mailing Address - Country:US
Mailing Address - Phone:305-827-3100
Mailing Address - Fax:305-558-9452
Practice Address - Street 1:8100 WEST 12 AVENUE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:305-827-3100
Practice Address - Fax:305-558-9452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10766310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility