Provider Demographics
NPI:1205171576
Name:THE KARUNA AGENCY, INC
Entity type:Organization
Organization Name:THE KARUNA AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-251-0789
Mailing Address - Street 1:3501 W VINE ST
Mailing Address - Street 2:SUITE 275
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4643
Mailing Address - Country:US
Mailing Address - Phone:407-847-6199
Mailing Address - Fax:407-847-6170
Practice Address - Street 1:3501 W VINE ST
Practice Address - Street 2:SUITE 275
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4643
Practice Address - Country:US
Practice Address - Phone:407-847-6199
Practice Address - Fax:407-847-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228769251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006559000Medicaid