Provider Demographics
NPI:1053401513
Name:CARE HEALTH SERVICE OF FLORIDA, INC.
Entity type:Organization
Organization Name:CARE HEALTH SERVICE OF FLORIDA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ALTON
Authorized Official - Last Name:HEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-433-8700
Mailing Address - Street 1:1800 FOREST HILL BLVD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6094
Mailing Address - Country:US
Mailing Address - Phone:561-433-8700
Mailing Address - Fax:561-641-1168
Practice Address - Street 1:839 BARTON BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3127
Practice Address - Country:US
Practice Address - Phone:321-576-0351
Practice Address - Fax:321-576-0354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health