Organization
ICARE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYKERA KITCHENS (ADMINISTRATION)
(305) 929-3346
Entity
Organization
Contact information
Practice address
2227 16TH AVE S, ST PETERSBURG, FL 33712-2739
(305) 929-3346
Mailing address
16703 EARLY RISER AVE, SUITE 260, LAND O' LAKES, FL 34638
(305) 929-3346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
305S00000X
Point of Service
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/26/2016
Last updated
04/12/2023
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