Healthcare Provider Details

I. General information

NPI: 1750751939
Provider Name (Legal Business Name): THE CARE SPECIALIST GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9824 JASMINE BROOK CIR
LAND O LAKES FL
34638-6025
US

IV. Provider business mailing address

9824 JASMINE BROOK CIR
LAND O LAKES FL
34638-6025
US

V. Phone/Fax

Practice location:
  • Phone: 813-406-4090
  • Fax:
Mailing address:
  • Phone: 813-406-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARON ELDRIDGE
Title or Position: PARTNER
Credential:
Phone: 813-760-4777