Healthcare Provider Details

I. General information

NPI: 1578977344
Provider Name (Legal Business Name): CITRUS HILLS NH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 06/27/2021
Certification Date: 06/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W NORVELL BRYANT HWY
HERNANDO FL
34442-5105
US

IV. Provider business mailing address

124 W NORVELL BRYANT HWY
HERNANDO FL
34442-5105
US

V. Phone/Fax

Practice location:
  • Phone: 352-249-3100
  • Fax:
Mailing address:
  • Phone: 352-249-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: MOSHE SCHEINER
Title or Position: CEO
Credential:
Phone: 813-557-6200