CAREHERE LLC (NPI# 1255776100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255776100 |
| Entity Type | Organization |
| Organization Name | CAREHERE LLC |
| Other Organization Name | CAREHERE- FLAGLER EHWC |
| Practice Address |
1769 E Moody Blvd Bldg 3 Bunnell FL 32110-5991 |
| Practice Telephone | 3863134224 |
| Mailing Telephone | 3863134224 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | MR. ERNIE CLEVENGER (PRESIDENT) |
| Authorized Official Telephone | 6152215901 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAREHERE LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carehere- Flagler EHWC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554839 | Carehere LLC | Family Medicine | 300 Scarlet Oaks Dr, Sharonville, OH 45241-1583 | 2020-03-24 |
| 1760019475 | Carehere LLC | Family Medicine | 3040 Kemp Rd Ste 100, Beavercreek, OH 45431-2644 | 2020-03-24 |
| 1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
| 1154966885 | Carehere LLC | Family Medicine | 1745 N Fraser St, Georgetown, SC 29440-6407 | 2019-11-18 |
| 1700421435 | Carehere LLC | Family Medicine | 12106 Ne Ainsworth Cir Ste 5, Portland, OR 97220-9001 | 2019-11-18 |
| 1346883196 | Carehere LLC | Family Medicine | 4340 Newberry Rd Ste 203, Gainesville, FL 32607-2557 | 2019-10-24 |
| 1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| Street Address |
1769 E MOODY BLVD BLDG 3 |
| City | BUNNELL |
| State | FL |
| Zip Code | 32110-5991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851400881 | Flagler County Board of County Commissioners | Ambulance | 1769 E Moody Blvd Bldg 3, Bunnell, FL 32110-5991 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
| 1407321698 | Medical Risk Solutions | Family Medicine | 1769 E. Moody Blvd, Bunnell, FL 32110 | 2018-10-04 |
| 1518225408 | Christopher Manly Deck | Occupational Therapy Assistant | 5795 Chestnut Ave, Bunnell, FL 32110 | 2012-04-27 |
| 1588947337 | Flagler Mental Health Center, Pa | Community/Behavioral Health | 2729 E. Moody Blvd Ste 105, Bunnell, FL 32110 | 2011-09-27 |
| 1922273606 | Nancy Hutt Culver | Technician | 2384 County Rd 305, Bunnell, FL 32110 | 2008-04-24 |
| 1487772984 | Jennifer Lois Fraser | Dentist | 35 Caroline Street, Bunnell, FL 32110 | 2007-03-26 |
| 1750463154 | Jennifer L Thornton | Chiropractor | 4721 East Moody Blvd, Suite101, Bunnell, FL 32110 | 2006-10-19 |
| 1720175649 | Bunnell Medical Center Inc | Family Medicine | 700 E. Moody Blvd, Bunnell, FL 32110 | 2006-10-10 |
| 1245326990 | Patrick Gerald Reed | Chiropractor | 4601 East Highway 100, Suite G4, Bunnell, FL 32110 | 2006-10-04 |
| 1013000652 | Flagler Diagnostic & Sleeping Disorder, Inc, Inc | Clinic/Center | 4721 E. Moody Blvd Suite 104, Bunnell, FL 32110 | 2006-10-02 |
| Find all providers in zip 32110 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407321698 | Medical Risk Solutions | Family Medicine | 1769 E. Moody Blvd, Bunnell, FL 32110 | 2018-10-04 |
| 1760810519 | Vip Doctors Care of Bunnel LLC | Family Medicine | 206 Dr Carter Blvd, Bunnell, FL 32110-6209 | 2013-10-14 |
| 1790092880 | Morris R. Carter, Jr., M.d., P.a. | Family Medicine | 206 S. Lemon Street, Bunnell, FL 32110-0943 | 2010-09-10 |
| 1720175649 | Bunnell Medical Center Inc | Family Medicine | 700 E. Moody Blvd, Bunnell, FL 32110 | 2006-10-10 |
| 1194789263 | Trina C Martin | Family Medicine | 42 Caroline St, A, Bunnell, FL 32110-8901 | 2006-04-14 |
| 1972017440 | Our Docs Care Bunnell LLC | Family Medicine | 1400 E Moody Blvd, Bunnell, FL 32110-5916 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891777 | Medical Risk Solutions LLC | Family Medicine | 455 Ishie Ave, Bronson, FL 32621-6204 | 2020-11-06 |
| 1801497953 | Wildwood Primary Care Associates | Family Medicine | 5814 Seven Mile Dr Ste 105, Wildwood, FL 34785-8869 | 2020-11-05 |
| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1902407455 | Trek Healthcare LLC | Family Medicine | 11767 S Dixie Hwy # 208, Pinecrest, FL 33156-4438 | 2020-11-02 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.