Provider Demographics
NPI:1215493457
Name:SIMPLICITY CARE OF SOUTH FLORIDA LLC
Entity type:Organization
Organization Name:SIMPLICITY CARE OF SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-864-2004
Mailing Address - Street 1:10100 W SAMPLE ROAD
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065
Mailing Address - Country:US
Mailing Address - Phone:954-642-3193
Mailing Address - Fax:954-857-2235
Practice Address - Street 1:10100 W SAMPLE RD FL 3
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3975
Practice Address - Country:US
Practice Address - Phone:954-642-3193
Practice Address - Fax:954-857-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health