Provider Demographics
NPI:1740425776
Name:TAKE CARE OF SARASOTA INC.
Entity Type:Organization
Organization Name:TAKE CARE OF SARASOTA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCECUTIVE ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:941-927-2292
Mailing Address - Street 1:3982 BEE RIDGE RD
Mailing Address - Street 2:BUILDING H SUITE A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1210
Mailing Address - Country:US
Mailing Address - Phone:941-927-2292
Mailing Address - Fax:941-927-2294
Practice Address - Street 1:3982 BEE RIDGE RD
Practice Address - Street 2:BUILDING H SUITE A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1210
Practice Address - Country:US
Practice Address - Phone:941-927-2292
Practice Address - Fax:941-927-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21657096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health