Provider Demographics
NPI:1962908582
Name:SAFECARE HOME HEALTH, LLC
Entity type:Organization
Organization Name:SAFECARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUNNING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-218-4170
Mailing Address - Street 1:900 NW 13TH ST STE 302-1
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2335
Mailing Address - Country:US
Mailing Address - Phone:561-218-4170
Mailing Address - Fax:561-672-1362
Practice Address - Street 1:900 NW 13TH ST STE 302-1
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2335
Practice Address - Country:US
Practice Address - Phone:561-218-4170
Practice Address - Fax:561-672-1362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211959251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health