Healthcare Provider Details

I. General information

NPI: 1528151024
Provider Name (Legal Business Name): HOME CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 N WYMORE RD STE 370
MAITLAND FL
32751
US

IV. Provider business mailing address

630 N WYMORE RD STE 370
MAITLAND FL
32751-4269
US

V. Phone/Fax

Practice location:
  • Phone: 407-339-6500
  • Fax: 877-644-3895
Mailing address:
  • Phone: 407-339-6500
  • Fax: 877-644-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH11738
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPH11738
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPH11738
License Number StateFL

VIII. Authorized Official

Name: MR. KEVIN C POWERS
Title or Position: PRESIDENT
Credential:
Phone: 407-339-6500