Provider Demographics
NPI:1467853655
Name:CARES HOME HEALTHCARE OF PINELLAS CORP
Entity Type:Organization
Organization Name:CARES HOME HEALTHCARE OF PINELLAS CORP
Other - Org Name:CARES HOME HEALTHCARE CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HYLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-304-2570
Mailing Address - Street 1:3005 STATE ROAD 590
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-2539
Mailing Address - Country:US
Mailing Address - Phone:813-304-2570
Mailing Address - Fax:
Practice Address - Street 1:3005 STATE ROAD 590
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-2539
Practice Address - Country:US
Practice Address - Phone:813-304-2570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health