Provider Demographics
NPI:1720270465
Name:SICAN GROUP INC.
Entity Type:Organization
Organization Name:SICAN GROUP INC.
Other - Org Name:SICAN HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
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 1:10135 AQUA VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5847
Mailing Address - Country:US
Mailing Address - Phone:561-504-5286
Mailing Address - Fax:
Practice Address - Street 1:10135 AQUA VISTA WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5847
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:2007-08-16
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty