MEDICARE: CARE AGENCY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	291U00000X	Clinical Medical Laboratory
4	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1912411836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	137 S PEBBLE BEACH BLVD STE 101
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5708
Country	:	US
Telephone Number	:	888-899-8665
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 S PEBBLE BEACH BLVD STE 101
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5708
Country	:	US
Telephone Number	:	888-899-8665
Fax Number	:	772-209-5970

Authorized Official
Title or Position	:	OWNER
Name	:	THALIA SHURNS
Credential	:
Telephone Number	:	772-538-5008

Provider Enumeration Date	:	11/30/2017
Last Update Date	:	03/28/2023

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Directions to “CARE AGENCY LLC ” Practice Location

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