Provider Demographics
NPI:1538161823
Name:CARI HOME CARE, INC.
Entity type:Organization
Organization Name:CARI HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IDA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-243-3022
Mailing Address - Street 1:38 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-5944
Mailing Address - Country:US
Mailing Address - Phone:786-243-3022
Mailing Address - Fax:786-243-3204
Practice Address - Street 1:38 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-5944
Practice Address - Country:US
Practice Address - Phone:786-243-3022
Practice Address - Fax:786-243-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108034Medicare ID - Type Unspecified