Individual provider · NPI-1
Jelessa Carr
In Home Supportive Care · Saint Petersburg, FL
NPI number1790674307
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1790674307
- Entity type
- Individual (NPI-1)
- Name
- Jelessa Carr
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 174200000X | Meals | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 372600000X | Adult Companion | – | – | |
| 374T00000X | Religious Nonmedical Nursing Personnel | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376G00000X | Nursing Home Administrator | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
359 55th Ave NeSaint Petersburg, FL 33703-3015
Phone 727-317-8876
Mailing address
359 55th Ave NeSaint Petersburg, FL 33703-3015
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