# GOTCHER PCAH CARES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred Care at Home of South Tampa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255185559
- **Authorized official:** JARED MARK GOTCHER (OWNER & EXECUTIVE DIRECTOR)
- **Authorized official phone:** (813) 822-4510

## Contact information

- **Practice address:** 3131 N BOULEVARD STE B, TAMPA, FL 33603-5527
- **Practice address phone:** (813) 822-4510
- **Mailing address:** 3131 N BOULEVARD STE B, TAMPA, FL 33603-5527
- **Mailing address phone:** (813) 822-4510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 04/15/2024