Provider Demographics
NPI:1730834276
Name:CARE ONE HEALTH OPTIONS
Entity type:Organization
Organization Name:CARE ONE HEALTH OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-748-0960
Mailing Address - Street 1:PO BOX 9724
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33674-9724
Mailing Address - Country:US
Mailing Address - Phone:813-748-0960
Mailing Address - Fax:813-501-1208
Practice Address - Street 1:7901 N NEBRASKA AVE STE 100A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-4270
Practice Address - Country:US
Practice Address - Phone:813-748-0960
Practice Address - Fax:813-501-1208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health