Provider Demographics
NPI:1447944566
Name:CAREFLORIDIAN HOME CARE LLC
Entity type:Organization
Organization Name:CAREFLORIDIAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BULILAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-229-0107
Mailing Address - Street 1:801 W BAY DR STE 338
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3220
Mailing Address - Country:US
Mailing Address - Phone:727-229-0107
Mailing Address - Fax:
Practice Address - Street 1:801 W BAY DR STE 338
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3220
Practice Address - Country:US
Practice Address - Phone:727-229-0107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty