Healthcare Provider Details

I. General information

NPI: 1861328577
Provider Name (Legal Business Name): INCLUSIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18580 NW 60TH AVE
REDDICK FL
32686-2308
US

IV. Provider business mailing address

18580 NW 60TH AVE
REDDICK FL
32686-2308
US

V. Phone/Fax

Practice location:
  • Phone: 352-231-5140
  • Fax:
Mailing address:
  • Phone: 352-231-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SANDRESIA DAVIS
Title or Position: OWNER
Credential:
Phone: 352-231-5140