Provider Demographics
NPI:1235573403
Name:CAREPLUS HOMECARE SERVICE, INC.
Entity Type:Organization
Organization Name:CAREPLUS HOMECARE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAINT
Authorized Official - Middle Name:V
Authorized Official - Last Name:PAYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-400-7991
Mailing Address - Street 1:5713 N NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-7125
Mailing Address - Country:US
Mailing Address - Phone:813-236-4500
Mailing Address - Fax:813-236-4505
Practice Address - Street 1:5713 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-7125
Practice Address - Country:US
Practice Address - Phone:813-236-4500
Practice Address - Fax:813-236-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4299251E00000X
FL233304253Z00000X
261QA0600X, 302R00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization