Healthcare Provider Details

I. General information

NPI: 1427200096
Provider Name (Legal Business Name): HCP SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 01/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NW 8TH AVE B-6
GAINESVILLE FL
32601-5011
US

IV. Provider business mailing address

901 NW 8TH AVE SUITE B-6
GAINESVILLE FL
32601-5011
US

V. Phone/Fax

Practice location:
  • Phone: 352-284-2336
  • Fax: 352-373-2254
Mailing address:
  • Phone: 352-284-2336
  • Fax: 352-373-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299993819
License Number StateFL

VIII. Authorized Official

Name: MR. JON A TUMA
Title or Position: MANGING DIRECTOR
Credential: MSC
Phone: 352-284-2336