Provider Demographics
NPI:1295505741
Name:CARETIME
Entity type:Organization
Organization Name:CARETIME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-209-2281
Mailing Address - Street 1:11175 CICERO DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1179
Mailing Address - Country:US
Mailing Address - Phone:678-209-2282
Mailing Address - Fax:
Practice Address - Street 1:1800 SE 32ND AVE STE 104
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5598
Practice Address - Country:US
Practice Address - Phone:352-624-0570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN IN-HOME CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNR30211751OtherAHCA NURSE REGISTRY LICENSE