Healthcare Provider Details

I. General information

NPI: 1942948195
Provider Name (Legal Business Name): DARNICKA D KOSKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 08/14/2022
Certification Date: 08/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12642 SAWGRASS PLANTATION BLVD
ORLANDO FL
32824-4830
US

IV. Provider business mailing address

12642 SAWGRASS PLANTATION BLVD
ORLANDO FL
32824-4830
US

V. Phone/Fax

Practice location:
  • Phone: 352-461-4760
  • Fax:
Mailing address:
  • Phone: 352-461-4760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: