IndividualActive
Carla Henderson
NPI 1336685106 · Adult Care Home Facility · Bradenton, FL
Provider details
- NPI number
- 1336685106
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Private Vehicle347C00000X
Transportation Services
Practice location
5103 19th Ct E
Bradenton, FL 34203-4266
Phone: (941) 345-0974
Approximate (ZIP-level) locationGet directions
Mailing address
5103 19th Ct E
Bradenton, FL 34203-4266
Registry dates
- Enumerated
- 2017-01-17
- Last updated
- 2022-07-09
- Certified
- 2022-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.