Provider Demographics
NPI:1922474204
Name:CARETIME LLC
Entity Type:Organization
Organization Name:CARETIME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:YANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN , GCM
Authorized Official - Phone:352-624-0570
Mailing Address - Street 1:233 NE 58TH AVE STE 102B
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-3406
Mailing Address - Country:US
Mailing Address - Phone:352-624-0570
Mailing Address - Fax:
Practice Address - Street 1:233 NE 58TH AVE STE 102B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3406
Practice Address - Country:US
Practice Address - Phone:352-624-0570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211751251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health