Organization
ANNETTE'S PROFESSIONAL CARE SERVICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS A GAINES (EXECUTIVE DIRECTOE/ OWNER)
(863) 443-7058
Entity
Organization
Contact information
Practice address
5109 STURGEON DR, SEBRING, FL 33870-1173
(863) 443-7058
(863) 658-2135
Mailing address
PO BOX 1162, BOWLING GREEN, FL 33834-1162
(863) 443-7058
(863) 658-2135
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000309700
—
FL
05
—
000630100
—
FL
05
—
002313600
—
FL
05
—
002313900
—
FL
05
—
002536200
—
FL
Enumeration date
11/13/2010
Last updated
11/13/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us