Healthcare Provider Details
I. General information
NPI: 1316852460
Provider Name (Legal Business Name): EN SU CASA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3059 BARRY RD
NORTH PORT FL
34286-9006
US
IV. Provider business mailing address
3059 BARRY RD
NORTH PORT FL
34286-9006
US
V. Phone/Fax
- Phone: 941-949-6934
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
BARAHONA
Title or Position: OWNER
Credential: CNA
Phone: 941-284-9388