Healthcare Provider Details

I. General information

NPI: 1205750106
Provider Name (Legal Business Name): KIMBERS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 AUTUMN OAKS LOOP
MOUNT DORA FL
32757-3000
US

IV. Provider business mailing address

751 AUTUMN OAKS LOOP
MOUNT DORA FL
32757-3000
US

V. Phone/Fax

Practice location:
  • Phone: 407-325-8717
  • Fax:
Mailing address:
  • Phone: 407-325-8717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY PRYOR
Title or Position: OWNER
Credential:
Phone: 407-325-8717