Healthcare Provider Details

I. General information

NPI: 1982227674
Provider Name (Legal Business Name): GENEROUS KARE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1877 NORTHGATE BLVD
SARASOTA FL
34234-2115
US

IV. Provider business mailing address

1877 NORTHGATE BLVD
SARASOTA FL
34234-2115
US

V. Phone/Fax

Practice location:
  • Phone: 941-587-7655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TYMIRA ROBINSON
Title or Position: PRESIDENT
Credential:
Phone: 941-587-7655