Provider Demographics
NPI:1396194528
Name:MARTHA'S CARING HOMEMAKERS AND COMPANIONS
Entity Type:Organization
Organization Name:MARTHA'S CARING HOMEMAKERS AND COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:RUTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-595-1775
Mailing Address - Street 1:PO BOX 705
Mailing Address - Street 2:
Mailing Address - City:CITRA
Mailing Address - State:FL
Mailing Address - Zip Code:32113-0705
Mailing Address - Country:US
Mailing Address - Phone:352-595-1775
Mailing Address - Fax:
Practice Address - Street 1:3449 NE 162ND ST.
Practice Address - Street 2:
Practice Address - City:CITRA
Practice Address - State:FL
Practice Address - Zip Code:32113
Practice Address - Country:US
Practice Address - Phone:352-595-1775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234390372500000X, 372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty