Provider Demographics
NPI:1912628165
Name:YOUR RT CARES LLC
Entity Type:Organization
Organization Name:YOUR RT CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WILLIAMS-SLATER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:954-214-0377
Mailing Address - Street 1:4125 NW 103RD DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1553
Mailing Address - Country:US
Mailing Address - Phone:954-214-0377
Mailing Address - Fax:
Practice Address - Street 1:2928 NW 17TH TER
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1502
Practice Address - Country:US
Practice Address - Phone:954-214-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies