Healthcare Provider Details

I. General information

NPI: 1558265082
Provider Name (Legal Business Name): FAY SPRINGS SENIOR HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 W UNIVERSITY AVE # 4
GAINESVILLE FL
32601-5287
US

IV. Provider business mailing address

530 W UNIVERSITY AVE
GAINESVILLE FL
32601-5287
US

V. Phone/Fax

Practice location:
  • Phone: 833-329-7742
  • Fax:
Mailing address:
  • Phone: 833-329-7742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name: RAQUEL SOPHIA ALLEN
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 352-554-3543