Provider Demographics
NPI:1376271189
Name:CLOUD CARE POST ACUTE LLC
Entity Type:Organization
Organization Name:CLOUD CARE POST ACUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIGTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-666-1116
Mailing Address - Street 1:1222 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-3343
Mailing Address - Country:US
Mailing Address - Phone:407-593-0323
Mailing Address - Fax:407-593-0324
Practice Address - Street 1:1222 10TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-3343
Practice Address - Country:US
Practice Address - Phone:407-593-0323
Practice Address - Fax:407-593-0324
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLOUD CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty