Provider Demographics
NPI:1376852210
Name:FAMILY CARE GIVERS INC
Entity Type:Organization
Organization Name:FAMILY CARE GIVERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-307-8044
Mailing Address - Street 1:5200 SE 145TH ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-8712
Mailing Address - Country:US
Mailing Address - Phone:352-307-8044
Mailing Address - Fax:352-307-9044
Practice Address - Street 1:5200 SE 145TH ST
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-8712
Practice Address - Country:US
Practice Address - Phone:352-307-8044
Practice Address - Fax:352-307-9044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211052251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health