Healthcare Provider Details

I. General information

NPI: 1962403287
Provider Name (Legal Business Name): GULF CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 SANTA BARBARA BLVD
CAPE CORAL FL
33991-2803
US

IV. Provider business mailing address

1333 SANTA BARBARA BLVD
CAPE CORAL FL
33991-2803
US

V. Phone/Fax

Practice location:
  • Phone: 239-772-1333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1188096
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL7386
License Number StateFL

VIII. Authorized Official

Name: MR. KEVIN AHMADI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 239-772-1333