Provider Demographics
NPI:1912331992
Name:COMMUNICARE HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:COMMUNICARE HEALTHCARE SERVICES
Other - Org Name:COMMUNICRAE NURSE REGISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ HEAD ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-362-7058
Mailing Address - Street 1:9050 PINES BLVD STE 370
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6400
Mailing Address - Country:US
Mailing Address - Phone:954-362-7058
Mailing Address - Fax:754-400-8934
Practice Address - Street 1:9050 PINES BLVD STE 370
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6400
Practice Address - Country:US
Practice Address - Phone:954-362-7058
Practice Address - Fax:754-400-8934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211661314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility