Healthcare Provider Details

I. General information

NPI: 1679357925
Provider Name (Legal Business Name): IMMACULATE CAREERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 SAHARA SPRINGS BLVD
POMPANO BEACH FL
33069-6104
US

IV. Provider business mailing address

PO BOX 641005
MIAMI FL
33164-1005
US

V. Phone/Fax

Practice location:
  • Phone: 954-547-4347
  • Fax:
Mailing address:
  • Phone: 954-547-4346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MANOUSHKA REMOGENE
Title or Position: PRESIDENT
Credential:
Phone: 954-547-4346