Provider Demographics
NPI:1265978910
Name:CARE PLUS PRIVATE HOME HEALTH CARE AGENCY
Entity type:Organization
Organization Name:CARE PLUS PRIVATE HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-735-0445
Mailing Address - Street 1:1188 N TAMIAMI TRL
Mailing Address - Street 2:SUITE 205F
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-2414
Mailing Address - Country:US
Mailing Address - Phone:941-217-4413
Mailing Address - Fax:941-217-4415
Practice Address - Street 1:1188 N TAMIAMI TRL
Practice Address - Street 2:SUITE 205F
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-2414
Practice Address - Country:US
Practice Address - Phone:941-217-4413
Practice Address - Fax:941-217-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care