Provider Demographics
NPI:1336638964
Name:ONE CAREGIVER LLC.
Entity Type:Organization
Organization Name:ONE CAREGIVER LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-366-1263
Mailing Address - Street 1:5100 W COPANS RD STE 710A
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7747
Mailing Address - Country:US
Mailing Address - Phone:754-222-9999
Mailing Address - Fax:866-333-7921
Practice Address - Street 1:5100 W COPANS RD STE 710A
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7747
Practice Address - Country:US
Practice Address - Phone:754-222-9999
Practice Address - Fax:866-333-7921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235324376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty