Provider Demographics
NPI:1457816647
Name:ALL INCLUSIVE CARE
Entity Type:Organization
Organization Name:ALL INCLUSIVE CARE
Other - Org Name:ALL INCLUSIVE HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREE
Authorized Official - Middle Name:S
Authorized Official - Last Name:DECIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-637-5995
Mailing Address - Street 1:6245 N FEDERAL HWY, SUITE 502
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1919
Mailing Address - Country:US
Mailing Address - Phone:954-955-3568
Mailing Address - Fax:954-206-0222
Practice Address - Street 1:6245 N FEDERAL HWY, SUITE 502
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1919
Practice Address - Country:US
Practice Address - Phone:954-955-3568
Practice Address - Fax:954-206-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102-175900Medicaid