CARLOS CARRILLO (NPI# 1043568017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043568017 |
| Entity Type | Individual |
| Full Name | CARLOS CARRILLO |
| Practice Address |
4202 W Idell St Tampa FL 33614-2501 |
| Practice Telephone | 8134102769 |
| Practice Fax Number | 8134905495 |
| Mailing Telephone | 8134102769 |
| Mailing Fax Number | 8134905495 |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2012-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449139 | Carlos Carrillo | Durable Medical Equipment & Medical Supplies | 111 Corte Mesa Ave, San Rafael, CA 94901-1303 | 2015-06-10 |
| 1326432139 | Carlos Carrillo | Technician, Other | 20325 Old Cutler Rd, Cutler Bay, FL 33189-1831 | 2015-03-19 |
| 1609473768 | Carlos A Carrillo | Dentist | 1011 Medical Plaza Dr, Spring, TX 77380-3249 | 2020-10-01 |
| 1144847146 | Carlos W Carrillo | Health Educator | 25722 Kingsland Blvd Ste 205, Katy, TX 77494-2643 | 2020-06-25 |
| 1225591662 | Carlos Alfonso Carrillo | Nurse Practitioner | 1700 Murchison Dr, El Paso, TX 79902-2931 | 2019-04-11 |
| 1104853951 | Carlos A. Carrillo | Surgery | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2006-06-27 |
| Street Address |
4202 W IDELL ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068229 | Grace Davila | Case Manager/Care Coordinator | 6107 Memorial Hwy Ste G, Tampa, FL 33615-4564 | 2019-08-14 |
| 1568015931 | Tiffany Green | Case Manager/Care Coordinator | 100 S. Ashley Drive, Suite 600, Tampa, FL 33602-3360 | 2019-07-24 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1306347729 | April Marie Syx | Case Manager/Care Coordinator | 15501 Bruce B Downs Blvd Apt 1109, Tampa, FL 33647-1306 | 2018-02-21 |
| 1942712799 | Rosalind Mckever | Case Manager/Care Coordinator | 7305 South Kissimmee Street, Tampa, FL 33616 | 2017-11-02 |
| 1932626272 | Rogerick Green Sr. | Case Manager/Care Coordinator | 7853 Gunn Hwy # 133, Tampa, FL 33626-1611 | 2017-08-28 |
| 1609390129 | Tatiana Usova-lorenzo | Case Manager/Care Coordinator | 1220 S Dale Mabry Hwy Ste 201, Tampa, FL 33629-5019 | 2017-07-26 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1043745565 | Claudia Duran | Case Manager/Care Coordinator | 4001 W Dr Mlk Blvd, Tampa, FL 33614-7011 | 2017-04-21 |
| 1821547894 | Phyllis Thomas Powell | Case Manager/Care Coordinator | 1310 Four Seasons Blvd, Tampa, FL 33613-2326 | 2016-09-30 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on CARLOS CARRILLO.
| 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.