Healthcare Provider Details

I. General information

NPI: 1285572800
Provider Name (Legal Business Name): ELOHIM GROUP HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7076 ORTEGA AVE
SPRING HILL FL
34609-1053
US

IV. Provider business mailing address

7076 ORTEGA AVE
SPRING HILL FL
34609-1053
US

V. Phone/Fax

Practice location:
  • Phone: 352-741-8262
  • Fax:
Mailing address:
  • Phone: 352-741-8262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LENDYS MARTINEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 352-741-8262