Healthcare Provider Details
I. General information
NPI: 1760347140
Provider Name (Legal Business Name): BUBBIES HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6308 EDGE O GROVE CIR
ORLANDO FL
32819-4160
US
IV. Provider business mailing address
6308 EDGE O GROVE CIR
ORLANDO FL
32819-4160
US
V. Phone/Fax
- Phone: 845-494-2843
- Fax:
- Phone: 845-494-2843
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHANA
ERGAS
Title or Position: OWNER
Credential:
Phone: 845-494-2843