Provider Demographics
NPI:1326293283
Name:FIRST CARE ASSISTANCE
Entity Type:Organization
Organization Name:FIRST CARE ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:IVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-401-4756
Mailing Address - Street 1:828 PINEBERRY DR
Mailing Address - Street 2:APT. #101
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-4922
Mailing Address - Country:US
Mailing Address - Phone:813-401-4756
Mailing Address - Fax:813-662-4599
Practice Address - Street 1:828 PINEBERRY DR
Practice Address - Street 2:APT. #101
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-4922
Practice Address - Country:US
Practice Address - Phone:813-401-4756
Practice Address - Fax:813-662-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL229476253Z00000X, 347C00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL691141296Medicaid
FL691141298Medicaid