Healthcare Provider Details

I. General information

NPI: 1093429516
Provider Name (Legal Business Name): TOGETHER AT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 01/10/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 SE 13TH TER
GAINESVILLE FL
32641-3102
US

IV. Provider business mailing address

434 SE 13TH TER
GAINESVILLE FL
32641-3102
US

V. Phone/Fax

Practice location:
  • Phone: 352-355-5115
  • Fax:
Mailing address:
  • Phone: 352-339-8813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: ALEASIA ANTHONY
Title or Position: CEO
Credential: LPN
Phone: 352-355-5115