Provider Demographics
NPI:1568447449
Name:GULF COAST HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:GULF COAST HOME CARE SERVICES, INC.
Other - Org Name:ASSOCIATED HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REIMBURSEMENT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHARYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-616-6000
Mailing Address - Street 1:4100 CORPORATE SQ
Mailing Address - Street 2:SUITE 163
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-4714
Mailing Address - Country:US
Mailing Address - Phone:239-263-0809
Mailing Address - Fax:239-263-8217
Practice Address - Street 1:4100 CORPORATE SQ
Practice Address - Street 2:SUITE 163
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-4714
Practice Address - Country:US
Practice Address - Phone:239-263-0809
Practice Address - Fax:239-263-8217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108005Medicare ID - Type UnspecifiedPROVIDER NUMBER