Healthcare Provider Details

I. General information

NPI: 1023873981
Provider Name (Legal Business Name): ALL HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 OAK RIDGE CT STE 302
FORT MYERS FL
33901-9371
US

IV. Provider business mailing address

2740 OAK RIDGE CT STE 302
FORT MYERS FL
33901-9371
US

V. Phone/Fax

Practice location:
  • Phone: 239-985-9054
  • Fax: 239-985-9233
Mailing address:
  • Phone: 239-985-9054
  • Fax: 239-985-9233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOCELENE JOCELYN
Title or Position: AMBR
Credential:
Phone: 239-201-7000