Provider Demographics
NPI:1366278467
Name:FORRESTER HOMECARE, LLC
Entity type:Organization
Organization Name:FORRESTER HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GACIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-222-9525
Mailing Address - Street 1:110 E BROWARD BLVD STE 1700
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3500
Mailing Address - Country:US
Mailing Address - Phone:954-869-7950
Mailing Address - Fax:888-338-8437
Practice Address - Street 1:110 E BROWARD BLVD STE 1700
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3500
Practice Address - Country:US
Practice Address - Phone:954-869-7950
Practice Address - Fax:888-338-8437
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FORRESTER HEALTHCARE STAFFING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-13
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty