Provider Demographics
NPI:1902272149
Name:CARMITA'S HOME HEALTH, INC.II
Entity Type:Organization
Organization Name:CARMITA'S HOME HEALTH, INC.II
Other - Org Name:CARMITA'S HOME HEALTH, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-432-6785
Mailing Address - Street 1:8021 KILLIAN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-7646
Mailing Address - Country:US
Mailing Address - Phone:407-432-6785
Mailing Address - Fax:
Practice Address - Street 1:8021 KILLIAN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-7646
Practice Address - Country:US
Practice Address - Phone:407-432-6785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARMITA'S HOME HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11735310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility