Provider Demographics
NPI:1669871760
Name:CARSTEL HEALTH, INC.
Entity type:Organization
Organization Name:CARSTEL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:ESTELLA
Authorized Official - Last Name:HURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-574-5764
Mailing Address - Street 1:502 GALLOWAY AVE
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8319
Mailing Address - Country:US
Mailing Address - Phone:386-574-5764
Mailing Address - Fax:386-575-2869
Practice Address - Street 1:502 GALLOWAY AVE
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-8319
Practice Address - Country:US
Practice Address - Phone:386-574-5764
Practice Address - Fax:386-575-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL679267701Medicaid