Provider Demographics
NPI:1710084132
Name:CARING PARTNERS HOME CARE AGENCY
Entity Type:Organization
Organization Name:CARING PARTNERS HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:MARNETTE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-747-9951
Mailing Address - Street 1:10216 NW 50TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8045
Mailing Address - Country:US
Mailing Address - Phone:954-747-9951
Mailing Address - Fax:954-747-9954
Practice Address - Street 1:10216 NW 50TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8045
Practice Address - Country:US
Practice Address - Phone:954-747-9951
Practice Address - Fax:954-747-9954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992522251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108454Medicare Oscar/Certification