Provider Demographics
NPI:1093173734
Name:CARU CARE LLC
Entity Type:Organization
Organization Name:CARU CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAYLOR-SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-565-4881
Mailing Address - Street 1:2532 NATURE POINTE LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-2473
Mailing Address - Country:US
Mailing Address - Phone:239-565-4881
Mailing Address - Fax:
Practice Address - Street 1:2532 NATURE POINTE LOOP
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-2473
Practice Address - Country:US
Practice Address - Phone:239-565-4881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234088253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care