Provider Demographics
NPI:1699411157
Name:PRIVATUS CARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PRIVATUS CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-275-2051
Mailing Address - Street 1:4501 TAMIAMI TRL N STE 214
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3018
Mailing Address - Country:US
Mailing Address - Phone:239-922-9272
Mailing Address - Fax:239-893-1933
Practice Address - Street 1:4501 TAMIAMI TRL N STE 214
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3018
Practice Address - Country:US
Practice Address - Phone:239-922-9272
Practice Address - Fax:239-893-1933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care