CARLA HENDERSON
NPI 1336685106
Custodial Care Facility - Adult Care Home in Bradenton, FL

Active since January 17, 2017
5103 19TH CT E, BRADENTON, FL 34203(941) 345-0974 Get Directions Write a Review

NPPES record last updated: July 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2022, Feb 1, 2017, Jan 17, 2017 (3 updates tracked since 2017).

About Carla Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA HENDERSON (NPI 1336685106) is an individual adult care home provider in Bradenton, Florida, licensed in Florida (6906892) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1336685106
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameCARLA HENDERSON
Location Address5103 19TH CT EBradenton, FL 34203-4266
Mailing Address5103 19th Ct EBradenton, FL 34203-4266 · (941) 345-0974
Sole ProprietorYes
Enumeration DateJanuary 17, 2017
Last NPPES UpdateJuly 9, 20223 updates tracked since enumeration
NPPES CertifiedJuly 9, 2022
NPI 1336685106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 6906892
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
5103 19TH CT E, Bradenton, FL 34203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carla Henderson's NPI number?

The NPI number for Carla Henderson is 1336685106. It was assigned to this individual provider in the NPPES registry on January 17, 2017.

Where is Carla Henderson located?

Carla Henderson practices at 5103 19th Ct E, Bradenton, FL 34203. The listed phone number is (941) 345-0974.

What is Carla Henderson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Carla Henderson was last updated on July 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.