Provider Demographics
NPI:1003358078
Name:FLORIDA CAREGIVERS, INC.
Entity Type:Organization
Organization Name:FLORIDA CAREGIVERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-795-7800
Mailing Address - Street 1:7647 W GULF TO LAKE HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7962
Mailing Address - Country:US
Mailing Address - Phone:352-795-7800
Mailing Address - Fax:
Practice Address - Street 1:7647 W GULF TO LAKE HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7962
Practice Address - Country:US
Practice Address - Phone:352-795-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNR30211698251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care