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NPI Code Detail

MEDICARE: GULF CARE, INC.

MEDICARE: GULF CARE, 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
1314000000XSkilled Nursing FacilitySNF1188096FL
2310400000XAssisted Living FacilityAL7386FL

Other Identifiers

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

General Provider Information

NPI Number : 1962403287
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF CARE, INC.
Provider Business Mailing Address
First Line : 1333 SANTA BARBARA BLVD
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 SANTA BARBARA BLVD
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2803
Country : US
Telephone Number : 239-772-1333
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. KEVIN AHMADI
Credential :
Telephone Number : 239-772-1333
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/11/2025

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Directions to “GULF CARE, INC. ” Practice Location

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