Provider Demographics
NPI:1508979659
Name:SPECIAL CARE, INC.
Entity Type:Organization
Organization Name:SPECIAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-888-6066
Mailing Address - Street 1:760 PONCE DE LEON BLVD
Mailing Address - Street 2:STE. 101
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2075
Mailing Address - Country:US
Mailing Address - Phone:305-888-6066
Mailing Address - Fax:305-888-9085
Practice Address - Street 1:760 PONCE DE LEON BLVD
Practice Address - Street 2:STE. 101
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2075
Practice Address - Country:US
Practice Address - Phone:305-888-6066
Practice Address - Fax:305-888-9085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21085096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027011300Medicaid