Provider Demographics
NPI:1689843443
Name:CARMELINA HOME CARE SERVICE
Entity Type:Organization
Organization Name:CARMELINA HOME CARE SERVICE
Other - Org Name:CARMELINAS ADULT FAMILY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/ ADMINISTRATOR/C.N.A
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMELINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:CNA/PROVIDER
Authorized Official - Phone:727-793-4434
Mailing Address - Street 1:3926 BLOOMING HILL LN
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-4104
Mailing Address - Country:US
Mailing Address - Phone:727-793-4434
Mailing Address - Fax:727-239-0375
Practice Address - Street 1:3926 BLOOMING HILL LN
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4104
Practice Address - Country:US
Practice Address - Phone:727-793-4434
Practice Address - Fax:727-239-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228787251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health