Provider Demographics
NPI:1730289323
Name:CARECORE HOME SERVICES, INC.
Entity Type:Organization
Organization Name:CARECORE HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KESHAVARZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:386-561-9125
Mailing Address - Street 1:914 SYLVIA DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-2718
Mailing Address - Country:US
Mailing Address - Phone:386-561-9125
Mailing Address - Fax:386-561-9125
Practice Address - Street 1:914 SYLVIA DR
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-2718
Practice Address - Country:US
Practice Address - Phone:386-561-9125
Practice Address - Fax:386-561-9125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-23
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health