Provider Demographics
NPI:1487527701
Name:CARE2LEARN LLC
Entity type:Organization
Organization Name:CARE2LEARN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ITDS
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:BA PSYCH, ITDS
Authorized Official - Phone:848-224-9181
Mailing Address - Street 1:535 SW BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-8738
Mailing Address - Country:US
Mailing Address - Phone:848-224-9181
Mailing Address - Fax:
Practice Address - Street 1:535 SW BUTLER AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-8738
Practice Address - Country:US
Practice Address - Phone:848-224-9181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103240500Medicaid