Healthcare Provider Details

I. General information

NPI: 1245819713
Provider Name (Legal Business Name): CARE 365 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2021
Last Update Date: 04/03/2021
Certification Date: 04/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 PALM BEACH LAKES BLVD STE 502F
WEST PALM BEACH FL
33409-6510
US

IV. Provider business mailing address

2001 PALM BEACH LAKES BLVD STE 502F
WEST PALM BEACH FL
33409-6510
US

V. Phone/Fax

Practice location:
  • Phone: 561-640-4087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TESSIE GIBSON
Title or Position: PRESIDENT
Credential:
Phone: 561-254-0422