Provider Demographics
NPI:1780489930
Name:AICARE HEALTH
Entity type:Organization
Organization Name:AICARE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AYANNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED NURSING AS
Authorized Official - Phone:561-294-7741
Mailing Address - Street 1:209 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-3109
Mailing Address - Country:US
Mailing Address - Phone:561-294-7741
Mailing Address - Fax:
Practice Address - Street 1:209 8TH ST
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-3109
Practice Address - Country:US
Practice Address - Phone:561-294-7741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty