Provider Demographics
NPI:1063605640
Name:GULF CITY HOME CARE INC.
Entity type:Organization
Organization Name:GULF CITY HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONVERY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:941-955-4600
Mailing Address - Street 1:401 N. CATTLEMAN RD
Mailing Address - Street 2:STE 104
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232
Mailing Address - Country:US
Mailing Address - Phone:941-955-4600
Mailing Address - Fax:941-556-4900
Practice Address - Street 1:401 N. CATTLEMAN RD
Practice Address - Street 2:STE 104
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232
Practice Address - Country:US
Practice Address - Phone:941-955-4600
Practice Address - Fax:941-556-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992284251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
108335Medicare PIN
108335Medicare Oscar/Certification