Provider Demographics
NPI:1487194122
Name:AMPLE CARE LLC
Entity Type:Organization
Organization Name:AMPLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALBOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-237-7135
Mailing Address - Street 1:584 NW UNIVERSITY BLVD STE 703
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-1600
Mailing Address - Country:US
Mailing Address - Phone:772-237-7135
Mailing Address - Fax:
Practice Address - Street 1:584 NW UNIVERSITY BLVD STE 703
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1600
Practice Address - Country:US
Practice Address - Phone:772-237-7135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health