Healthcare Provider Details

I. General information

NPI: 1770881575
Provider Name (Legal Business Name): HOT HOME-CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2987 LONGLEAF RANCH CIRCLE
MIDDLEBURG FL
32068
US

IV. Provider business mailing address

2987 LONGLEAF RANCH CIR
MIDDLEBURG FL
32068-6357
US

V. Phone/Fax

Practice location:
  • Phone: 904-589-7078
  • Fax:
Mailing address:
  • Phone: 904-589-7078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRIS RICKS
Title or Position: COO
Credential: MBA
Phone: 904-589-7078