Healthcare Provider Details
I. General information
NPI: 1689500290
Provider Name (Legal Business Name): ENTYRE CARE FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 S PINE ISLAND RD
PLANTATION FL
33324-4413
US
IV. Provider business mailing address
101 FEDERAL ST STE 2400
BOSTON MA
02110-1817
US
V. Phone/Fax
- Phone: 617-784-7643
- Fax:
- Phone: 617-784-7643
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BENEDIKT
REIGER
Title or Position: COO
Credential:
Phone: 617-314-4100