Healthcare Provider Details

I. General information

NPI: 1275454191
Provider Name (Legal Business Name): AURORA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 CHAMPAGNE AVE
GULF BREEZE FL
32563-9043
US

IV. Provider business mailing address

1707 CHAMPAGNE AVE
GULF BREEZE FL
32563-9043
US

V. Phone/Fax

Practice location:
  • Phone: 832-732-4773
  • Fax: 833-356-0845
Mailing address:
  • Phone: 832-732-4773
  • Fax: 833-356-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ECATERINA ANTONOV
Title or Position: OWNER
Credential:
Phone: 832-732-4773