Provider Demographics
NPI:1053107912
Name:CARTER, JAMES E (CERTIFIED CAREGIVER)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:CARTER
Suffix:
Gender:
Credentials:CERTIFIED CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 S AZTEC POINT TRL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-5104
Mailing Address - Country:US
Mailing Address - Phone:520-286-1023
Mailing Address - Fax:
Practice Address - Street 1:2403 S AZTEC POINT TRL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-5104
Practice Address - Country:US
Practice Address - Phone:520-286-1023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZCG23906251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health