Provider Demographics
NPI:1518566249
Name:1ST CARE OF NAPLES
Entity type:Organization
Organization Name:1ST CARE OF NAPLES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LADY
Authorized Official - Middle Name:
Authorized Official - Last Name:SERVILLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-318-5115
Mailing Address - Street 1:4050 NE 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-8424
Mailing Address - Country:US
Mailing Address - Phone:305-318-5115
Mailing Address - Fax:
Practice Address - Street 1:9420 BONITA BEACH RD SE STE 203
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4774
Practice Address - Country:US
Practice Address - Phone:239-390-0103
Practice Address - Fax:888-506-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health