Healthcare Provider Details

I. General information

NPI: 1144514696
Provider Name (Legal Business Name): A QUALITY HOME HEALTH 4 U INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14391 METROPOLIS AVE STE 101
FORT MYERS FL
33912-4423
US

IV. Provider business mailing address

14391 METROPOLIS AVE STE 101
FORT MYERS FL
33912-4423
US

V. Phone/Fax

Practice location:
  • Phone: 239-257-1626
  • Fax: 239-257-2058
Mailing address:
  • Phone: 239-257-1626
  • Fax: 239-257-2058

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDY HERNANDEZ
Title or Position: CEO
Credential:
Phone: 786-317-3594