Provider Demographics
NPI:1578198198
Name:RUPASCARE INC
Entity Type:Organization
Organization Name:RUPASCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARDAI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEEMONGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-296-2067
Mailing Address - Street 1:710 BRIARWOOD TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-6309
Mailing Address - Country:US
Mailing Address - Phone:954-296-2067
Mailing Address - Fax:
Practice Address - Street 1:710 BRIARWOOD TER
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-6309
Practice Address - Country:US
Practice Address - Phone:954-296-2067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty