Healthcare Provider Details

I. General information

NPI: 1992141279
Provider Name (Legal Business Name): HOME BOUND CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 N STATE ROAD 7 #220
LAUDERDALE LAKES FL
33313-3748
US

IV. Provider business mailing address

2331 N STATE ROAD 7 #220
LAUDERDALE LAKES FL
33313-3748
US

V. Phone/Fax

Practice location:
  • Phone: 954-730-3200
  • Fax: 305-652-1290
Mailing address:
  • Phone: 954-730-3200
  • Fax: 305-652-1290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299994304
License Number StateFL

VIII. Authorized Official

Name: MISS JACKIE CARTER
Title or Position: ADMINISTRATOR
Credential: RN,C
Phone: 305-652-3100