Provider Demographics
NPI:1942746110
Name:CANDID CARE LLC
Entity Type:Organization
Organization Name:CANDID CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:ALEXANDRIA
Authorized Official - Last Name:NUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-445-1206
Mailing Address - Street 1:2518 BURNSED BLVD
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32163-2704
Mailing Address - Country:US
Mailing Address - Phone:352-474-2668
Mailing Address - Fax:
Practice Address - Street 1:714 S US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-4540
Practice Address - Country:US
Practice Address - Phone:352-474-2668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233674251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health