Healthcare Provider Details

I. General information

NPI: 1669127981
Provider Name (Legal Business Name): MOBILITY HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1529 SUNRISE PLAZA DR STE 6 SUITE A
CLERMONT FL
34714-6202
US

IV. Provider business mailing address

PO BOX 135366
CLERMONT FL
34713-5366
US

V. Phone/Fax

Practice location:
  • Phone: 352-243-9341
  • Fax: 352-243-8293
Mailing address:
  • Phone: 352-243-9341
  • Fax: 352-243-8293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LUKE KRON
Title or Position: PRESIDENT/ALT ADMIN
Credential:
Phone: 352-243-9341