MEDICARE: HO OPERATING COMPANY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL5531	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073743167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HO OPERATING COMPANY, LLC

Provider Business Mailing Address
First Line	:	13777 BELCHER RD S
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-4003
Country	:	US
Telephone Number	:	727-726-3980
Fax Number	:	727-793-9400

Provider Business Practice Location Address
First Line	:	3625 HIDDEN TREE LN
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-8388
Country	:	US
Telephone Number	:	239-939-1393
Fax Number	:	239-939-9708

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MR. TIMOTHY R BARNES
Credential	:
Telephone Number	:	727-726-3980

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	07/23/2009

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