Provider Demographics
NPI:1053823088
Name:SIMPLY CARE SERVICES INC
Entity type:Organization
Organization Name:SIMPLY CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRIAME
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHEL JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-200-7955
Mailing Address - Street 1:850 NW FEDERAL HWY # 165
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-1019
Mailing Address - Country:US
Mailing Address - Phone:561-200-7955
Mailing Address - Fax:561-200-8104
Practice Address - Street 1:8402 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-3306
Practice Address - Country:US
Practice Address - Phone:561-200-7955
Practice Address - Fax:561-200-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30212555Medicaid
FL022956400Medicaid
FL023933400Medicaid