Provider Demographics
NPI:1700580172
Name:SICAN GROUP INCORPORATED
Entity Type:Organization
Organization Name:SICAN GROUP INCORPORATED
Other - Org Name:SICAN HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CANTAVE
Authorized Official - Suffix:
Authorized Official - Credentials:BSEE, MBA
Authorized Official - Phone:561-504-5286
Mailing Address - Street 1:PO BOX 880034
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33488-0034
Mailing Address - Country:US
Mailing Address - Phone:561-504-5286
Mailing Address - Fax:
Practice Address - Street 1:8000 N FEDERAL HWY STE 300
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1687
Practice Address - Country:US
Practice Address - Phone:561-504-5286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health