Healthcare Provider Details

I. General information

NPI: 1346997905
Provider Name (Legal Business Name): TRUSTED CARE PROFESSIONALS ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 E SOUTH ST STE 500
ORLANDO FL
32801-2986
US

IV. Provider business mailing address

232 BOCA CIEGA RD
MASCOTTE FL
34753-9221
US

V. Phone/Fax

Practice location:
  • Phone: 267-602-8947
  • Fax:
Mailing address:
  • Phone: 267-602-8947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: TALIA HARKNESS
Title or Position: OWNER
Credential:
Phone: 267-602-8947