Provider Demographics
NPI:1376166231
Name:CARE ON DEMAND 247,LLC
Entity Type:Organization
Organization Name:CARE ON DEMAND 247,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:904-386-6470
Mailing Address - Street 1:1479 CLASSIC OAK CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-9026
Mailing Address - Country:US
Mailing Address - Phone:904-386-6470
Mailing Address - Fax:
Practice Address - Street 1:1479 CLASSIC OAK CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-9026
Practice Address - Country:US
Practice Address - Phone:904-386-6470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA