Healthcare Provider Details

I. General information

NPI: 1629976873
Provider Name (Legal Business Name): CARE ALL WAYS HOME AIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2026
Last Update Date: 10/28/2026
Certification Date: 10/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8903 GLADES RD # RE
BOCA RATON FL
33434-4074
US

IV. Provider business mailing address

5227 N 7TH ST STE 45558
PHOENIX AZ
85014-2802
US

V. Phone/Fax

Practice location:
  • Phone: 870-888-0627
  • Fax: 870-888-0627
Mailing address:
  • Phone: 870-888-0627
  • Fax: 870-888-0627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KERLANGE DESROSIERS
Title or Position: AMBR
Credential:
Phone: 870-888-0627