Provider Demographics
NPI:1982358016
Name:WINLIN CARE INC
Entity Type:Organization
Organization Name:WINLIN CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:WINFERD
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHASTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-716-4593
Mailing Address - Street 1:10720 DIXON DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7406
Mailing Address - Country:US
Mailing Address - Phone:813-442-0280
Mailing Address - Fax:
Practice Address - Street 1:10720 DIXON DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7406
Practice Address - Country:US
Practice Address - Phone:813-442-0280
Practice Address - Fax:813-252-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015411600Medicaid