Healthcare Provider Details

I. General information

NPI: 1982916805
Provider Name (Legal Business Name): CAREGIVERS OF AMERICA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 N STATE ROAD 7 STE 102
MARGATE FL
33063-5756
US

IV. Provider business mailing address

2960 N STATE ROAD 7 STE 102
MARGATE FL
33063-5756
US

V. Phone/Fax

Practice location:
  • Phone: 954-720-3526
  • Fax: 954-765-6810
Mailing address:
  • Phone: 954-720-3526
  • Fax: 954-765-6810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number21381096
License Number StateFL

VIII. Authorized Official

Name: NICOLA WALLACE-BOWEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-720-3526