Provider Demographics
NPI:1184977522
Name:AMERICARE HEALTH GROUP CORP.
Entity type:Organization
Organization Name:AMERICARE HEALTH GROUP CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PUCINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-313-4040
Mailing Address - Street 1:6735 CONROY WINDERMERE RD
Mailing Address - Street 2:107 SUITE
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3565
Mailing Address - Country:US
Mailing Address - Phone:407-313-4040
Mailing Address - Fax:407-313-4041
Practice Address - Street 1:6735 CONROY WINDERMERE RD
Practice Address - Street 2:107 SUITE
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3565
Practice Address - Country:US
Practice Address - Phone:407-313-4040
Practice Address - Fax:407-313-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies