Provider Demographics
NPI:1659090546
Name:GREAT CARE SERVICES, LLC
Entity Type:Organization
Organization Name:GREAT CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STPIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:954-990-6491
Mailing Address - Street 1:5440 N STATE ROAD 7 STE 223
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2900
Mailing Address - Country:US
Mailing Address - Phone:954-990-6491
Mailing Address - Fax:
Practice Address - Street 1:5440 N STATE ROAD 7 STE 223
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33319-2900
Practice Address - Country:US
Practice Address - Phone:954-990-6491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care