Healthcare Provider Details

I. General information

NPI: 1982911608
Provider Name (Legal Business Name): HOUSECALL HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 BRYAN DAIRY RD SUITE 140
SEMINOLE FL
33777-1353
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 727-397-7013
  • Fax: 727-391-5160
Mailing address:
  • Phone: 225-292-2031
  • Fax: 225-295-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number21007096
License Number StateFL

VIII. Authorized Official

Name: WILLIAM F BORNE
Title or Position: PRESIDENT
Credential:
Phone: 225-292-2031