Provider Demographics
NPI:1043887078
Name:COFFIE CARES LLC
Entity Type:Organization
Organization Name:COFFIE CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-COFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-447-8788
Mailing Address - Street 1:25350 US 19 N APT 335
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-2140
Mailing Address - Country:US
Mailing Address - Phone:813-447-8788
Mailing Address - Fax:
Practice Address - Street 1:25350 US 19 N APT 335
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2140
Practice Address - Country:US
Practice Address - Phone:813-447-8788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty