Healthcare Provider Details

I. General information

NPI: 1013173574
Provider Name (Legal Business Name): C. PORTER HOME & COMPANION SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 07/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 NW 6TH CT
FT LAUDERDALE FL
33311-7665
US

IV. Provider business mailing address

2830 NW 6TH CT
FT LAUDERDALE FL
33311-7665
US

V. Phone/Fax

Practice location:
  • Phone: 954-791-2848
  • Fax:
Mailing address:
  • Phone: 954-791-2848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number230708
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number230708
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number230708
License Number StateFL

VIII. Authorized Official

Name: MS. CARLA PORTER
Title or Position: PRESIDENT / OWNER
Credential:
Phone: 954-791-2848