Provider Demographics
NPI:1467004804
Name:FAVORITE CARE SERVICES, LLC
Entity Type:Organization
Organization Name:FAVORITE CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEURENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-588-6281
Mailing Address - Street 1:13902 N DALE MABRY HWY STE 134
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2441
Mailing Address - Country:US
Mailing Address - Phone:813-542-6002
Mailing Address - Fax:813-374-9183
Practice Address - Street 1:13902 N DALE MABRY HWY STE 134
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2441
Practice Address - Country:US
Practice Address - Phone:813-542-6002
Practice Address - Fax:813-374-9183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health