Provider Demographics
NPI:1487059432
Name:SARASOTA HOME CARE, INC
Entity type:Organization
Organization Name:SARASOTA HOME CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-233-4759
Mailing Address - Street 1:7235 RIVER HAMMOCK DR
Mailing Address - Street 2:# 106
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-4246
Mailing Address - Country:US
Mailing Address - Phone:207-233-4759
Mailing Address - Fax:
Practice Address - Street 1:2033 WOOD ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-7900
Practice Address - Country:US
Practice Address - Phone:207-233-4759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care