Provider Demographics
NPI:1235689423
Name:CARING PALACE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CARING PALACE HEALTH SERVICES, INC.
Other - Org Name:SHINING LIGHT HOMEMAKER COMPANIONSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:GUERLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-326-9309
Mailing Address - Street 1:9441 CHELSEA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3878
Mailing Address - Country:US
Mailing Address - Phone:786-326-9309
Mailing Address - Fax:
Practice Address - Street 1:9441 CHELSEA DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3878
Practice Address - Country:US
Practice Address - Phone:786-326-9309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING PALACE HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9316159163W00000X, 253Z00000X, 311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home