Provider Demographics
NPI:1184159923
Name:GRANDCARE PLUS, INC
Entity type:Organization
Organization Name:GRANDCARE PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-916-8586
Mailing Address - Street 1:7227 N PLUM TREE
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33955-1167
Mailing Address - Country:US
Mailing Address - Phone:941-916-8586
Mailing Address - Fax:941-237-4279
Practice Address - Street 1:207 CROSS ST STE 2
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4432
Practice Address - Country:US
Practice Address - Phone:941-916-8586
Practice Address - Fax:941-237-4279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234550253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care