Provider Demographics
NPI:1376983486
Name:CARETAKERS SERVICES, INC.
Entity Type:Organization
Organization Name:CARETAKERS SERVICES, INC.
Other - Org Name:CARETAKERS PAVILLION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-513-0002
Mailing Address - Street 1:171 ONEAL WAY
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-4154
Mailing Address - Country:US
Mailing Address - Phone:850-509-4596
Mailing Address - Fax:
Practice Address - Street 1:903 N MONROE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6186
Practice Address - Country:US
Practice Address - Phone:850-513-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688356796Medicaid
FL687667600Medicaid
FL687667601Medicaid
FL002119500Medicaid
FL688356798Medicaid