Healthcare Provider Details

I. General information

NPI: 1396615563
Provider Name (Legal Business Name): IN GREAT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 RIVER PL
FORT PIERCE FL
34982-4110
US

IV. Provider business mailing address

12151 OSCEOLA RD
NORTH PALM BEACH FL
33408-2653
US

V. Phone/Fax

Practice location:
  • Phone: 772-252-1992
  • Fax:
Mailing address:
  • Phone: 561-373-9005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAVON R RAHMING
Title or Position: OWNER
Credential:
Phone: 561-373-9005