Provider Demographics
NPI:1154171221
Name:GRECO, LAUREN EVE (CNA, HHA, MED TECH)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:EVE
Last Name:GRECO
Suffix:
Gender:F
Credentials:CNA, HHA, MED TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66172
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33736-6172
Mailing Address - Country:US
Mailing Address - Phone:225-362-2161
Mailing Address - Fax:
Practice Address - Street 1:1510 MAHOGANY LN
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-6526
Practice Address - Country:US
Practice Address - Phone:225-362-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X, 372600000X
FLCNA444676376K00000X
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult Companion