MEDICARE: DEVELOPING MINDS HEALTHCARE 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
2	225XP0019X	Physical Rehabilitation Occupational Therapist

General Provider Information

NPI Number	:	1710505888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVELOPING MINDS HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2595 TAMPA RD STE A
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3130
Country	:	US
Telephone Number	:	727-953-3228
Fax Number	:	727-953-3486

Provider Business Practice Location Address
First Line	:	2595 TAMPA RD STE A
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3130
Country	:	US
Telephone Number	:	727-953-3228
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEANNA LYNN MARR
Credential	:	OTR
Telephone Number	:	813-358-3274

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	04/26/2026

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