Corey Kare Home & Community Support Services, Llc

LBN: Corey Kare Home & Community Support Services, Llc
Corey Kare Home & Community Support Services, Llc is an health care organization with primary practice located at 5101 Nw Newark Ln , Port Saint Lucie FL 34983-5369. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Corey Kare Home & Community Support Services, Llc can be contacted via phone (772) 344-8482, or through Dixon, Roderick Germaine via phone (772) 216-8314.

Contact Information

Primary practice address
5101 Nw Newark Ln Port Saint Lucie FL 34983-5369
Fax: (772) 344-8482
Website:
Authorized official contact:
Name: Dixon, Roderick Germaine

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 229501 Florida

Profile Details

NPI number 1013934660
LBN Legal business name Corey Kare Home & Community Support Services, Llc
DBA Doing business as
Authorized official Dixon, Roderick Germaine
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated May 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013934660 NPPES
Florida MEDICAID 688595198
Florida MEDICAID 688595196

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