Healthcare Provider Details

I. General information

NPI: 1962203935
Provider Name (Legal Business Name): BEACON OF HOPE HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 ROLLING HILLS LN
APOPKA FL
32712-4777
US

IV. Provider business mailing address

3345 ROLLING HILLS LN
APOPKA FL
32712-4777
US

V. Phone/Fax

Practice location:
  • Phone: 689-308-8124
  • Fax:
Mailing address:
  • Phone: 689-308-8124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: SHELONDA M JONES
Title or Position: OWNER
Credential:
Phone: 407-497-5684