Healthcare Provider Details

I. General information

NPI: 1194252239
Provider Name (Legal Business Name): CARE AT HOME SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 20TH ST SW
LEHIGH ACRES FL
33976-3633
US

IV. Provider business mailing address

2500 20TH ST SW
LEHIGH ACRES FL
33976-3633
US

V. Phone/Fax

Practice location:
  • Phone: 863-272-1111
  • Fax:
Mailing address:
  • Phone: 863-272-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. GWENDOLYN NUNEZ
Title or Position: PRESIDENT
Credential:
Phone: 239-677-8897