Provider Demographics
NPI:1376091157
Name:A PLUS CAREGIVERS INC.
Entity Type:Organization
Organization Name:A PLUS CAREGIVERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ODETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAILLANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-385-4308
Mailing Address - Street 1:4270 NW 198TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-1830
Mailing Address - Country:US
Mailing Address - Phone:786-385-4308
Mailing Address - Fax:
Practice Address - Street 1:4270 NW 198TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-1830
Practice Address - Country:US
Practice Address - Phone:786-385-4308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017649400Medicaid