Provider Demographics
NPI:1811207988
Name:CARECO NURSING SERVICES, LLC
Entity Type:Organization
Organization Name:CARECO NURSING SERVICES, LLC
Other - Org Name:CARECO HEALTH SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:BOIS
Authorized Official - Last Name:MCCLYMONT-CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-714-3200
Mailing Address - Street 1:3810 INVERRARY BLVD
Mailing Address - Street 2:SUITE 102-B
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4356
Mailing Address - Country:US
Mailing Address - Phone:954-714-3200
Mailing Address - Fax:954-206-0887
Practice Address - Street 1:3810 INVERRARY BLVD
Practice Address - Street 2:SUITE 102-B
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4356
Practice Address - Country:US
Practice Address - Phone:954-714-3200
Practice Address - Fax:954-206-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211125251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health