Organization
CARE PROVIDER SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FAGO (PRESIDENT)
(561) 626-3300
Entity
Organization
Contact information
Practice address
2979 PGA BLVD STE 225, PALM BEACH GARDENS, FL 33410-2911
(561) 630-0884
(561) 273-6184
Mailing address
2979 PGA BLVD STE 225, PALM BEACH GARDENS, FL 33410-2911
(561) 630-0884
(561) 273-6184
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4581749
—
TN
05
—
90000092
—
KY
Enumeration date
02/19/2007
Last updated
09/11/2025
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