Provider Demographics
NPI:1336490481
Name:CARING FOR YOU SUPPORT CARE SERVICES, LLC
Entity Type:Organization
Organization Name:CARING FOR YOU SUPPORT CARE SERVICES, LLC
Other - Org Name:CARING FOR YOU ASSISTED LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER/MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:813-391-5240
Mailing Address - Street 1:708 CAMELLIA CT
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-5702
Mailing Address - Country:US
Mailing Address - Phone:813-391-5240
Mailing Address - Fax:
Practice Address - Street 1:2212 E MCBERRY ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-5040
Practice Address - Country:US
Practice Address - Phone:813-871-0761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 12245310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL 12245OtherAHCA LICENSE NUMBER