Provider Demographics
NPI:1790376077
Name:GIVENSCARE LLC
Entity Type:Organization
Organization Name:GIVENSCARE LLC
Other - Org Name:GIVENSCARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAJUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-333-7922
Mailing Address - Street 1:3600 S STATE ROAD 7 STE 320
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5290
Mailing Address - Country:US
Mailing Address - Phone:786-333-7922
Mailing Address - Fax:305-402-2861
Practice Address - Street 1:3600 S STATE ROAD 7 STE 320
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5290
Practice Address - Country:US
Practice Address - Phone:786-333-7922
Practice Address - Fax:305-402-2861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101458000Medicaid
FL015341800Medicaid
FL101458000Medicaid