Provider Demographics
NPI:1053185397
Name:IRIE CARE LLC
Entity type:Organization
Organization Name:IRIE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERAMAR
Authorized Official - Middle Name:MIRETTE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-360-9810
Mailing Address - Street 1:2128 ANOKA WAY
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-2949
Mailing Address - Country:US
Mailing Address - Phone:352-360-9810
Mailing Address - Fax:
Practice Address - Street 1:2128 ANOKA WAY
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-2949
Practice Address - Country:US
Practice Address - Phone:352-360-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health