Provider Demographics
NPI:1831305390
Name:BROTHERS CARE INC
Entity type:Organization
Organization Name:BROTHERS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-996-9832
Mailing Address - Street 1:15818 LEATHERLEAF LN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7912
Mailing Address - Country:US
Mailing Address - Phone:813-996-9832
Mailing Address - Fax:813-996-2454
Practice Address - Street 1:3475 FOXHALL DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-2526
Practice Address - Country:US
Practice Address - Phone:727-243-2049
Practice Address - Fax:813-996-2454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities