MEDICARE: GENCARE RESOURCES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	299994251	FL
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417383639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENCARE RESOURCES, LLC

Provider Business Mailing Address
First Line	:	1650 SAND LAKE RD # 340B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7681
Country	:	US
Telephone Number	:	407-440-2877
Fax Number	:	407-440-2876

Provider Business Practice Location Address
First Line	:	1650 SAND LAKE RD # 340B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7681
Country	:	US
Telephone Number	:	407-440-2877
Fax Number	:	407-440-2876

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	OLIVE GAYE
Credential	:
Telephone Number	:	407-440-2877

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	03/11/2026

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Directions to “GENCARE RESOURCES, LLC ” Practice Location

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