Provider Demographics
NPI:1982184180
Name:THE HOUSE OF CARES INC
Entity Type:Organization
Organization Name:THE HOUSE OF CARES INC
Other - Org Name:THE HOUSE OF CARES INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FILICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-667-3361
Mailing Address - Street 1:1042 SW HALEYBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6750
Mailing Address - Country:US
Mailing Address - Phone:561-667-3361
Mailing Address - Fax:
Practice Address - Street 1:1042 SW HALEYBERRY AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-6750
Practice Address - Country:US
Practice Address - Phone:561-667-3361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care