Provider Demographics
NPI:1417383639
Name:GENCARE RESOURCES LLC
Entity Type:Organization
Organization Name:GENCARE RESOURCES LLC
Other - Org Name:GENCARE RESOURCES HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLIVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-325-8448
Mailing Address - Street 1:6100 LAKE ELLENOR DR STE 258
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4638
Mailing Address - Country:US
Mailing Address - Phone:407-440-2877
Mailing Address - Fax:407-440-2876
Practice Address - Street 1:6100 LAKE ELLENOR DR STE 258
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4638
Practice Address - Country:US
Practice Address - Phone:407-440-2877
Practice Address - Fax:407-440-2876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994251163WH0200X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty