Healthcare Provider Details

I. General information

NPI: 1427355056
Provider Name (Legal Business Name): HOME HEALTH CARE PROFESSIONALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8451 SHADE AVE BLDG 2, SUITE 210
SARASOTA FL
34243-2878
US

IV. Provider business mailing address

8451 SHADE AVE BLDG 2, SUITE 210
SARASOTA FL
34243-2878
US

V. Phone/Fax

Practice location:
  • Phone: 941-378-4214
  • Fax: 941-378-4216
Mailing address:
  • Phone: 941-378-4214
  • Fax: 941-378-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30211432
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CANDY KING
Title or Position: BUSINESS MANAGER
Credential:
Phone: 941-378-4214