Healthcare Provider Details

I. General information

NPI: 1710817127
Provider Name (Legal Business Name): CASANOVA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 WALNUT ST
SEBRING FL
33870-7039
US

IV. Provider business mailing address

421 WALNUT ST
SEBRING FL
33870-7039
US

V. Phone/Fax

Practice location:
  • Phone: 786-560-2675
  • Fax: 786-560-2675
Mailing address:
  • Phone: 786-560-2675
  • Fax: 786-560-2675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SURELY CASANOVA
Title or Position: OWNER
Credential: CASANOVA
Phone: 786-560-2675