Healthcare Provider Details

I. General information

NPI: 1558956896
Provider Name (Legal Business Name): 24/7 HOME CARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 03/09/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 OWASSO CT
ORLANDO FL
32818-4040
US

IV. Provider business mailing address

2200 OWASSO CT
ORLANDO FL
32818-4040
US

V. Phone/Fax

Practice location:
  • Phone: 407-781-6293
  • Fax: 888-865-6965
Mailing address:
  • Phone: 407-781-6293
  • Fax: 888-865-6965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. EDNA MELINDA SIMON
Title or Position: OWNER
Credential:
Phone: 407-781-6293