Provider Demographics
NPI:1104016401
Name:ELDER CARE SERVICES INC
Entity type:Organization
Organization Name:ELDER CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-245-5930
Mailing Address - Street 1:2518 W TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-2506
Mailing Address - Country:US
Mailing Address - Phone:850-921-5554
Mailing Address - Fax:850-921-0082
Practice Address - Street 1:2518 W TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304
Practice Address - Country:US
Practice Address - Phone:850-921-5554
Practice Address - Fax:850-921-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9049261QA0600X
251B00000X, 332U00000X, 372500000X, 374U00000X, 376K00000X, 385H00000X, 253Z00000X
FL4934372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No332U00000XSuppliersHome Delivered Meals
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL122649400Medicaid
FL4934OtherFLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
FL123218500Medicaid