Healthcare Provider Details

I. General information

NPI: 1144035486
Provider Name (Legal Business Name): IMPECCABLE SENIORS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5578 N ORANGE BLOSSOM TRL
ORLANDO FL
32810-1033
US

IV. Provider business mailing address

5578 N ORANGE BLOSSOM TRL
ORLANDO FL
32810-1033
US

V. Phone/Fax

Practice location:
  • Phone: 407-704-8212
  • Fax: 407-704-5010
Mailing address:
  • Phone: 407-704-8212
  • Fax: 407-704-5010

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: DORRIE ELIZABETH BENNETT
Title or Position: ADMINININISTOR
Credential:
Phone: 407-766-3505