Provider Demographics
NPI:1134494842
Name:ACTI-KARE INC
Entity Type:Organization
Organization Name:ACTI-KARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER FRANCHISE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:D
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:ROMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-767-8456
Mailing Address - Street 1:17425 BRIDGE HILL CT STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3657
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17425 BRIDGE HILL CT STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3657
Practice Address - Country:US
Practice Address - Phone:813-767-8456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15850163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty