Healthcare Provider Details

I. General information

NPI: 1588101372
Provider Name (Legal Business Name): BETTER HANDS HOME CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 MEDICAL CENTER AVE
SEBRING FL
33870-5423
US

IV. Provider business mailing address

719 CANBERRA RD
WINTER HAVEN FL
33884-1210
US

V. Phone/Fax

Practice location:
  • Phone: 863-662-4673
  • Fax:
Mailing address:
  • Phone: 863-257-7011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number234773
License Number StateFL

VIII. Authorized Official

Name: BALDWIN PETERKIN
Title or Position: OWNER
Credential:
Phone: 863-257-7011