Healthcare Provider Details
I. General information
NPI: 1720925514
Provider Name (Legal Business Name): WHEATLAND HEALTH COMMUNITY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 W HIGHBANKS RD
DEBARY FL
32713-2863
US
IV. Provider business mailing address
235 N HUNT CLUB BLVD STE 202
LONGWOOD FL
32779-7113
US
V. Phone/Fax
- Phone: 833-412-2100
- Fax: 407-505-4595
- Phone: 833-412-2100
- Fax: 407-505-4595
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNNSAY
LOCHARD
Title or Position: ADMINISTRATOR
Credential:
Phone: 407-279-1661