Provider Demographics
NPI:1033732193
Name:CAREGIVERS AT YOUR HOME
Entity Type:Organization
Organization Name:CAREGIVERS AT YOUR HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BSN/RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:WIVELYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANASSE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-523-6233
Mailing Address - Street 1:200 KNUTH RD STE 118B
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4629
Mailing Address - Country:US
Mailing Address - Phone:561-523-6233
Mailing Address - Fax:
Practice Address - Street 1:200 KNUTH RD STE 118B
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4629
Practice Address - Country:US
Practice Address - Phone:561-523-6233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-24
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health