MEDICARE: CAREWAY HEALTHCARE STAFFING 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	253Z00000X	In Home Supportive Care 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	:	1497496541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREWAY HEALTHCARE STAFFING LLC

Provider Business Mailing Address
First Line	:	13180 N CLEVELAND AVE STE 306
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-6231
Country	:	US
Telephone Number	:	239-689-7722
Fax Number	:

Provider Business Practice Location Address
First Line	:	13180 N CLEVELAND AVE STE 306
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-6231
Country	:	US
Telephone Number	:	239-689-7722
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANICE WILLIAMS
Credential	:
Telephone Number	:	239-223-2169

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	04/05/2022

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