Provider Demographics
NPI:1811642408
Name:RIGHTEOUS CARE, LLC.
Entity type:Organization
Organization Name:RIGHTEOUS CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:239-271-8668
Mailing Address - Street 1:5251 RED CEDAR DR APT 21
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7508
Mailing Address - Country:US
Mailing Address - Phone:239-271-8668
Mailing Address - Fax:
Practice Address - Street 1:5251 RED CEDAR DR APT 21
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7508
Practice Address - Country:US
Practice Address - Phone:239-271-8668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL005455001Medicaid