Provider Demographics
NPI:1679357925
Name:IMMACULATE CAREERS LLC
Entity type:Organization
Organization Name:IMMACULATE CAREERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANOUSHKA
Authorized Official - Middle Name:
Authorized Official - Last Name:REMOGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-547-4346
Mailing Address - Street 1:PO BOX 641005
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33164-1005
Mailing Address - Country:US
Mailing Address - Phone:954-547-4346
Mailing Address - Fax:
Practice Address - Street 1:3434 SAHARA SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-6104
Practice Address - Country:US
Practice Address - Phone:954-547-4347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty