Healthcare Provider Details

I. General information

NPI: 1396338745
Provider Name (Legal Business Name): NAVICARE PROVIDER SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 37TH ST NW
WINTER HAVEN FL
33881-1988
US

IV. Provider business mailing address

1339 37TH ST NW
WINTER HAVEN FL
33881-1988
US

V. Phone/Fax

Practice location:
  • Phone: 813-270-1338
  • Fax:
Mailing address:
  • Phone: 813-270-1338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. BETSY SOLANO
Title or Position: OWNER
Credential:
Phone: 813-270-1338