MEDICARE: COOK N CARE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1225737323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COOK N CARE HOME CARE LLC

Provider Business Mailing Address
First Line	:	1342 CELERY PALM CV
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-6807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1342 CELERY PALM CV
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-6807
Country	:	US
Telephone Number	:	216-205-7023
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	MARSHAREE NICOLE SINER
Credential	:
Telephone Number	:	216-205-7023

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/27/2023

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