Healthcare Provider Details

I. General information

NPI: 1972227916
Provider Name (Legal Business Name): REACH ONE LOVE ONE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 CITRUS TOWER BLVD APT 9101
CLERMONT FL
34711-6837
US

IV. Provider business mailing address

324 W BURLEIGH BLVD STE 336
TAVARES FL
32778-2410
US

V. Phone/Fax

Practice location:
  • Phone: 352-978-8655
  • Fax:
Mailing address:
  • Phone: 352-978-8655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: TERESA CLINTON
Title or Position: OWNER
Credential:
Phone: 352-978-8655