Healthcare Provider Details

I. General information

NPI: 1346556842
Provider Name (Legal Business Name): HEALTHCARE CONSULTANTS ALLIANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2010
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E OAK ST APT 3
ARCADIA FL
34266-4445
US

IV. Provider business mailing address

223 E OAK ST APT 3
ARCADIA FL
34266-4445
US

V. Phone/Fax

Practice location:
  • Phone: 239-652-0260
  • Fax: 239-652-0146
Mailing address:
  • Phone: 239-652-0260
  • Fax: 239-652-0146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30211469
License Number StateFL

VIII. Authorized Official

Name: LARRY BEUER
Title or Position: CEO
Credential:
Phone: 239-652-0260