Provider Demographics
NPI:1841616406
Name:CARE 4 LIFE, INC.
Entity Type:Organization
Organization Name:CARE 4 LIFE, INC.
Other - Org Name:HOME CARE ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KASOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-517-6770
Mailing Address - Street 1:1530 N MCMULLEN BOOTH RD
Mailing Address - Street 2:SUITE D-12
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-2547
Mailing Address - Country:US
Mailing Address - Phone:727-330-7862
Mailing Address - Fax:727-223-8919
Practice Address - Street 1:1530 N MCMULLEN BOOTH RD
Practice Address - Street 2:SUITE D-12
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-2547
Practice Address - Country:US
Practice Address - Phone:727-330-7862
Practice Address - Fax:727-223-8919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health