Provider Demographics
NPI:1881476554
Name:CARE AT HOME, LLC
Entity type:Organization
Organization Name:CARE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARILLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BSN, RN
Authorized Official - Phone:239-919-6679
Mailing Address - Street 1:10564 ESPANOLA DR
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-5378
Mailing Address - Country:US
Mailing Address - Phone:239-919-6679
Mailing Address - Fax:
Practice Address - Street 1:9990 COCONUT RD, SUITE 314
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-3413
Practice Address - Country:US
Practice Address - Phone:239-296-5000
Practice Address - Fax:239-320-3318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care