Healthcare Provider Details
I. General information
NPI: 1962164095
Provider Name (Legal Business Name): VALUE CARE OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2021
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6803 WEST COMMERCIAL BLVD
TAMARAC FL
33319
US
IV. Provider business mailing address
1255 OAKMEAD PKWY
SUNNYVALE CA
94085-4040
US
V. Phone/Fax
- Phone: 954-446-0095
- Fax:
- Phone: 973-493-2972
- 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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMANTHA
JARNOT
Title or Position: COMPLIANCE MANAGER
Credential:
Phone: 619-539-9847