Provider Demographics
NPI:1912461583
Name:REDEEMING CARE OF SOUTH FLORIDA INC.
Entity Type:Organization
Organization Name:REDEEMING CARE OF SOUTH FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-903-1397
Mailing Address - Street 1:8461 LAKE WORTH RD STE 1-233
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2474
Mailing Address - Country:US
Mailing Address - Phone:561-340-1400
Mailing Address - Fax:561-340-1402
Practice Address - Street 1:8461 LAKE WORTH RD STE 1-233
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2474
Practice Address - Country:US
Practice Address - Phone:561-340-1400
Practice Address - Fax:561-340-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
4849031379OtherNURSE REGISTRY