Healthcare Provider Details
I. General information
NPI: 1144086133
Provider Name (Legal Business Name): RIGHT ON TIME HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2412 SANDRIDGE CIR
EUSTIS FL
32726-4488
US
IV. Provider business mailing address
2412 SANDRIDGE CIR
EUSTIS FL
32726-4488
US
V. Phone/Fax
- Phone: 561-352-4052
- Fax:
- Phone: 561-352-4052
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTYLE
BROWN
Title or Position: CEO
Credential:
Phone: 561-352-4052