Provider Demographics
NPI:1578721684
Name:TOP NOTCH CARE
Entity Type:Organization
Organization Name:TOP NOTCH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:727-564-1768
Mailing Address - Street 1:5095 89TH TER
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5302
Mailing Address - Country:US
Mailing Address - Phone:727-520-3790
Mailing Address - Fax:
Practice Address - Street 1:5095 89TH TER
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5302
Practice Address - Country:US
Practice Address - Phone:727-520-3790
Practice Address - Fax:727-544-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
FL693546096251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL693546098Medicaid
FL693546096Medicaid