Provider Demographics
NPI:1104162254
Name:CARES HOME HEALTHCARE, CORP
Entity type:Organization
Organization Name:CARES HOME HEALTHCARE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:MIKLOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-599-1543
Mailing Address - Street 1:2529 W BUSCH BLVD
Mailing Address - Street 2:#700
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4545
Mailing Address - Country:US
Mailing Address - Phone:813-379-7870
Mailing Address - Fax:813-374-2340
Practice Address - Street 1:2529 W BUSCH BLVD
Practice Address - Street 2:#700
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4545
Practice Address - Country:US
Practice Address - Phone:813-379-7870
Practice Address - Fax:813-374-2340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29993860251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health