Provider Demographics
NPI:1144538000
Name:AMERI KARE, LLC
Entity type:Organization
Organization Name:AMERI KARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-640-0178
Mailing Address - Street 1:653 W 23RD ST
Mailing Address - Street 2:SUITE 297
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-3922
Mailing Address - Country:US
Mailing Address - Phone:850-640-0178
Mailing Address - Fax:850-640-0248
Practice Address - Street 1:2712 N EAST AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-7024
Practice Address - Country:US
Practice Address - Phone:850-640-0178
Practice Address - Fax:850-640-0248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231164253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001708600Medicaid