Provider Demographics
NPI:1912411836
Name:CARE AGENCY LLC
Entity Type:Organization
Organization Name:CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-538-5008
Mailing Address - Street 1:137 S PEBBLE BEACH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5708
Mailing Address - Country:US
Mailing Address - Phone:888-899-8665
Mailing Address - Fax:
Practice Address - Street 1:137 S PEBBLE BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5708
Practice Address - Country:US
Practice Address - Phone:888-899-8665
Practice Address - Fax:772-209-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No291U00000XLaboratoriesClinical Medical Laboratory