Healthcare Provider Details

I. General information

NPI: 1003599481
Provider Name (Legal Business Name): SHILOH HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1359 RALPH POE DR
APOPKA FL
32703-4402
US

IV. Provider business mailing address

1359 RALPH POE DR
APOPKA FL
32703-4402
US

V. Phone/Fax

Practice location:
  • Phone: 140-727-6120
  • Fax: 407-278-6031
Mailing address:
  • Phone: 140-727-6120
  • Fax: 407-278-6031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARLENE ORIVAL
Title or Position: ADMINISTRATOR/DIRECTOR OF NURSING
Credential: RN
Phone: 407-276-1200