Healthcare Provider Details
I. General information
NPI: 1700592961
Provider Name (Legal Business Name): HOME OF TODAY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1107 W CHURCH ST
ORLANDO FL
32805-2217
US
IV. Provider business mailing address
9009 GREAT HERON CIR
ORLANDO FL
32836-5484
US
V. Phone/Fax
- Phone: 786-859-3463
- Fax:
- Phone: 786-859-3463
- 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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBORAH
MOBLEY
Title or Position: PRESIDENT/ADMIN
Credential: RN
Phone: 786-859-3463