Healthcare Provider Details

I. General information

NPI: 1083758312
Provider Name (Legal Business Name): CARE PROVIDER SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2979 PGA BLVD STE 225
PALM BEACH GARDENS FL
33410-2911
US

IV. Provider business mailing address

2979 PGA BLVD STE 225
PALM BEACH GARDENS FL
33410-2911
US

V. Phone/Fax

Practice location:
  • Phone: 561-630-0884
  • Fax: 561-273-6184
Mailing address:
  • Phone: 561-630-0884
  • Fax: 561-273-6184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH FAGO
Title or Position: PRESIDENT
Credential:
Phone: 561-626-3300