Provider Demographics
NPI:1043728348
Name:CAREAMERICA.ORG, INC
Entity type:Organization
Organization Name:CAREAMERICA.ORG, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAPPENNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-345-0555
Mailing Address - Street 1:1660 CROTON RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-3272
Mailing Address - Country:US
Mailing Address - Phone:321-345-0555
Mailing Address - Fax:321-222-1342
Practice Address - Street 1:1660 CROTON RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-3272
Practice Address - Country:US
Practice Address - Phone:321-345-0555
Practice Address - Fax:321-222-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-21
Last Update Date:2018-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233940253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care