Provider Demographics
NPI:1609969575
Name:CARE HEALTH SERVICE OF FLORIDA, INC.
Entity Type:Organization
Organization Name:CARE HEALTH SERVICE OF FLORIDA, INC.
Other - Org Name:REDI-NURSE OF THE TREASURE COAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-433-8800
Mailing Address - Street 1:2290 10TH AVE N
Mailing Address - Street 2:SUITE #304
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461
Mailing Address - Country:US
Mailing Address - Phone:561-433-8800
Mailing Address - Fax:561-641-1168
Practice Address - Street 1:155 SW PORT ST. LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST. LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984
Practice Address - Country:US
Practice Address - Phone:772-335-1229
Practice Address - Fax:772-335-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21001095251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683274100Medicaid