Provider Demographics
NPI:1780700435
Name:SKILLED CARE, INC.
Entity type:Organization
Organization Name:SKILLED CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-845-7737
Mailing Address - Street 1:721 US HIGHWAY 1
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4519
Mailing Address - Country:US
Mailing Address - Phone:561-845-7737
Mailing Address - Fax:561-845-7882
Practice Address - Street 1:721 US HIGHWAY 1
Practice Address - Street 2:SUITE 220
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4519
Practice Address - Country:US
Practice Address - Phone:561-845-7737
Practice Address - Fax:561-845-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991947251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109127Medicare Oscar/Certification