MEDICARE: CARETENDERS OF S.W. FLORIDA, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1598946394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARETENDERS OF S.W. FLORIDA, INC.

Provider Business Mailing Address
First Line	:	9510 ORMSBY STATION RD
Second Line	:	SUITE 300
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-4081
Country	:	US
Telephone Number	:	502-891-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 5TH AVE N
Second Line	:	SUITE 101
City	:	NAPLES
State	:	FL
Zip	:	34102-5582
Country	:	US
Telephone Number	:	239-643-3033
Fax Number	:	239-643-3082

Authorized Official
Title or Position	:	SR. V.P. ADMINISTRATION
Name	:	MR. PATRICK TODD LYLES
Credential	:
Telephone Number	:	502-891-1044

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	11/20/2007

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