Carrollwood Care Center – Skilled Nursing Facility, NPI 1447254107

Carrollwood Care Center is a healthcare provider. based in Tampa, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. SNF1077095 (FL). The NPI Number for Carrollwood Care Center is 1447254107

Main info

Organization
Name
Carrollwood Care Center
NPI
1447254107
Phone
(813) 960-1969
Address
15002 HUTCHISON RD
Authorized Official
HOWARD JAFFE PRESIDENT
Enumeration Date
10 June 2005
Last Update Date
4 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness90
Years active:21State licenses:1Digital endpoints

Provider Addresses for Carrollwood Care Center

  • 15002 HUTCHISON RD

    TAMPA, FL 336255509

    Phone: (813) 960-1969

    Fax: (813) 960-8510

    Type: Location

  • 1675, Palm Beach Lakes Boulevard, Palm Beach Lakes, West Palm Beach, Palm Beach County, Florida, 33401, United States

    SUITE 900

    WEST PALM BEACH, FL 33401

    Phone: (561) 801-7600

    Type: Mailing

  • 1665 PALM BEACH LAKES BLVD STE 400

    WEST PALM BEACH, FL 334012108

    Phone: (561) 223-4300

    Fax: (561) 933-3676

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100316000924OSkilled Nursing FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33625)

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Reviews

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Frequently asked questions

Does Carrollwood Care Center share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Carrollwood Care Center uses 1447254107.
Is Carrollwood Care Center listed as active for patients and plans?
The listing shows Carrollwood Care Center as active in the NPI system.
What is Carrollwood Care Center's primary classification?
Skilled Nursing Facility is the headline specialty for Carrollwood Care Center here. Clinical services aligned with this taxonomy classification.
What address line appears for Carrollwood Care Center?
Carrollwood Care Center's geographic hint is Tampa, Florida in our summary view.
Why does Carrollwood Care Center have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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