Provider Demographics
NPI:1477892263
Name:GENCARE RESOURCES, LLC
Entity Type:Organization
Organization Name:GENCARE RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:OLIVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:407-325-8448
Mailing Address - Street 1:1853 WESTPOINTE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8181
Mailing Address - Country:US
Mailing Address - Phone:407-325-8448
Mailing Address - Fax:888-661-4881
Practice Address - Street 1:1853 WESTPOINTE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8181
Practice Address - Country:US
Practice Address - Phone:407-325-8448
Practice Address - Fax:888-661-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-14
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 372600000X
FL12000118734302R00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization