MEDICARE: ATTENTIVE HOME CARE SERVICES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477251619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2799 W OLD US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-3536
Country	:	US
Telephone Number	:	352-459-1245
Fax Number	:

Provider Business Practice Location Address
First Line	:	2799 W OLD US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-3536
Country	:	US
Telephone Number	:	352-459-1245
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICIA F ALLEN
Credential	:	RN
Telephone Number	:	352-459-1245

Provider Enumeration Date	:	02/17/2023
Last Update Date	:	02/17/2023

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