Healthcare Provider Details

I. General information

NPI: 1831192616
Provider Name (Legal Business Name): HI TECH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 CENTRE CIRCLE SUITE 3006
ALTAMONTE SPRINGS FL
32714-7243
US

IV. Provider business mailing address

3854 AMERICAN WAY SUITE A
BATON ROUGE LA
70816-4896
US

V. Phone/Fax

Practice location:
  • Phone: 407-464-0194
  • Fax: 407-464-0327
Mailing address:
  • Phone: 225-292-2031
  • Fax: 225-295-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number107660
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA299991339
License Number StateFL

VIII. Authorized Official

Name: PAUL KUSSEROW
Title or Position: PRESIDENT
Credential:
Phone: 225-292-2031