1023242419 NPI number — A-1 CAREGIVERS INC.

Table of content: (NPI 1023242419)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023242419 NPI number — A-1 CAREGIVERS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A-1 CAREGIVERS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
A-1 CAREGIVERS INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023242419
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
175 FONTAINEBLEAU BLVD
Provider Second Line Business Mailing Address:
SUITE 1R-5
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33172-7018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-206-6186
Provider Business Mailing Address Fax Number:
866-576-3468

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 FONTAINEBLEAU BLVD
Provider Second Line Business Practice Location Address:
SUITE 1R-5
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33172-7018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-206-6186
Provider Business Practice Location Address Fax Number:
866-576-3468
Provider Enumeration Date:
05/13/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VAILLANT
Authorized Official First Name:
ODETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
786-206-6186

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000185600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000185601 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00185602 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 002239400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".