Provider Demographics
NPI:1407805294
Name:CARE RESPONSE HOME HEALTH AGENCY CORP.
Entity Type:Organization
Organization Name:CARE RESPONSE HOME HEALTH AGENCY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING SERVICES/PRES
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-644-4560
Mailing Address - Street 1:10021 PINES BLVD.
Mailing Address - Street 2:SUITE #201
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:954-435-4672
Mailing Address - Fax:954-435-4673
Practice Address - Street 1:10021 PINES BLVD
Practice Address - Street 2:SUITE #201
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6191
Practice Address - Country:US
Practice Address - Phone:954-435-4672
Practice Address - Fax:954-435-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108273Medicare Oscar/Certification