Healthcare Provider Details
I. General information
NPI: 1114479169
Provider Name (Legal Business Name): CARE FOR AMERICA CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2016
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
677 N WASHINGTON BLVD STE 37
SARASOTA FL
34236-4241
US
IV. Provider business mailing address
677 N WASHINGTON BLVD STE 37
SARASOTA FL
34236-4241
US
V. Phone/Fax
- Phone: 941-800-3345
- Fax: 813-867-4544
- Phone: 941-800-3345
- Fax: 813-867-4544
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THUTRUNG ALEXIS
NGUYEN
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 813-868-6782