MEDICARE: GREAT HORNED OWL 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1831057629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT HORNED OWL CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	7920 ROUNDELAY DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-6358
Country	:	US
Telephone Number	:	727-514-4341
Fax Number	:

Provider Business Practice Location Address
First Line	:	7920 ROUNDELAY DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-6358
Country	:	US
Telephone Number	:	727-514-4341
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. SCOTT THOMAS MITCHELL
Credential	:
Telephone Number	:	727-514-4341

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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