Provider Demographics
NPI:1023529278
Name:AMCARE HOLDINGS OF WEST FLORIDA
Entity type:Organization
Organization Name:AMCARE HOLDINGS OF WEST FLORIDA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-864-8200
Mailing Address - Street 1:1001 N WASHINGTON BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-3429
Mailing Address - Country:US
Mailing Address - Phone:941-864-8200
Mailing Address - Fax:
Practice Address - Street 1:1001 N WASHINGTON BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-3429
Practice Address - Country:US
Practice Address - Phone:941-864-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211808376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty