<Unavail>

LBN: Caretenders Visiting Services Of St. Augustine, Llc
<Unavail> is an health care organization with primary practice located at 200 E Granada Blvd Ste 208 , Ormond Beach FL 32176-6692. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Caretenders Visiting Services Of St. Augustine, Llc can be contacted via phone (386) 615-2053, or through Proffitt, Joshua L via phone (337) 233-1307.

Contact Information

Primary practice address
200 E Granada Blvd Ste 208 Ormond Beach FL 32176-6692
Phone: (386) 615-2053
Fax: (386) 676-2173
Website:
Map and Directions
Authorized official contact:
Name: Proffitt, Joshua L
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1992269401
LBN Legal business name Caretenders Visiting Services Of St. Augustine, Llc
DBA Doing business as <Unavail>
Authorized official Proffitt, Joshua L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2019
Last updated Oct 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992269401 NPPES
Florida MEDICAID 104088500

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