MEDICARE: CARE BEARS CHORE AND COMPANION

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	302R00000X	Health Maintenance Organization	232456	FL

General Provider Information

NPI Number	:	1770835795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE BEARS CHORE AND COMPANION

Provider Business Mailing Address
First Line	:	3565 WORTHINGTON AVE
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-4906
Country	:	US
Telephone Number	:	941-330-5983
Fax Number	:

Provider Business Practice Location Address
First Line	:	3565 WORTHINGTON AVE
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-4906
Country	:	US
Telephone Number	:	941-330-5983
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MS. SHARON DELORIS TROUPE
Credential	:
Telephone Number	:	941-330-5983

Provider Enumeration Date	:	10/15/2012
Last Update Date	:	10/15/2012

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Directions to “CARE BEARS CHORE AND COMPANION ” Practice Location

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