Provider Demographics
NPI:1669369930
Name:LIFE CARE PRO CORP
Entity type:Organization
Organization Name:LIFE CARE PRO CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERD NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:U
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-985-8987
Mailing Address - Street 1:800 SW 125TH WAY
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1791
Mailing Address - Country:US
Mailing Address - Phone:786-985-8987
Mailing Address - Fax:
Practice Address - Street 1:18301 NW 2ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4443
Practice Address - Country:US
Practice Address - Phone:786-985-8987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health