Provider Demographics
NPI:1033509245
Name:CARETENDERS VISITING SERVICES OF GAINESVILLE
Entity Type:Organization
Organization Name:CARETENDERS VISITING SERVICES OF GAINESVILLE
Other - Org Name:MEDERI CARETENDERS HEALTH AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT & SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:LYLES
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:502-891-1000
Mailing Address - Street 1:8109 NW 27TH BLVD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-8636
Mailing Address - Country:US
Mailing Address - Phone:352-792-6464
Mailing Address - Fax:352-792-6463
Practice Address - Street 1:8109 NW 27TH BLVD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-8636
Practice Address - Country:US
Practice Address - Phone:352-792-6464
Practice Address - Fax:352-792-6463
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALMOST FAMILY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4693261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech