Provider Demographics
NPI:1316402431
Name:CENTER FOR CARE SERVICES LLC
Entity Type:Organization
Organization Name:CENTER FOR CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ALIX
Authorized Official - Last Name:CELONY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-556-8830
Mailing Address - Street 1:4700 SHERIDAN ST STE J
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3416
Mailing Address - Country:US
Mailing Address - Phone:305-330-0284
Mailing Address - Fax:954-362-7376
Practice Address - Street 1:4700 SHERIDAN ST STE J
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3416
Practice Address - Country:US
Practice Address - Phone:305-330-0284
Practice Address - Fax:954-362-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-02
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care