Provider Demographics
NPI:1194200949
Name:COVERED WITH CARE
Entity Type:Organization
Organization Name:COVERED WITH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LASUNYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-226-1650
Mailing Address - Street 1:1930 SE 44TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32641-9506
Mailing Address - Country:US
Mailing Address - Phone:352-226-1650
Mailing Address - Fax:
Practice Address - Street 1:1930 SE 44TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32641-9506
Practice Address - Country:US
Practice Address - Phone:352-226-1650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care