Healthcare Provider Details

I. General information

NPI: 1982936027
Provider Name (Legal Business Name): ONE WORLD HUMAN SERVICES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2010
Last Update Date: 01/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12105 MILLHOPPER RD
GAINESVILLE FL
32653-2727
US

IV. Provider business mailing address

12105 MILLHOPPER RD
GAINESVILLE FL
32653-2727
US

V. Phone/Fax

Practice location:
  • Phone: 352-682-9734
  • Fax:
Mailing address:
  • Phone: 352-682-9734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS L BROILES
Title or Position: CEO/PRESIDENT
Credential:
Phone: 352-682-9734