Provider Demographics
NPI:1508128315
Name:RENTTAR ENTERPRISE, LLC
Entity Type:Organization
Organization Name:RENTTAR ENTERPRISE, LLC
Other - Org Name:FIRSTLIGHT HOMECARE OF PINELLAS COUNTY, FL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:RATTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-560-2255
Mailing Address - Street 1:2750 N MCMULLEN BOOTH RD
Mailing Address - Street 2:SUITE 102E
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3362
Mailing Address - Country:US
Mailing Address - Phone:727-725-4663
Mailing Address - Fax:
Practice Address - Street 1:2750 N MCMULLEN BOOTH RD
Practice Address - Street 2:SUITE 102E
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3362
Practice Address - Country:US
Practice Address - Phone:727-725-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232703253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care