Healthcare Provider Details

I. General information

NPI: 1174201602
Provider Name (Legal Business Name): ISNA MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4076 BRECKLAND CT
SPRING HILL FL
34609-0830
US

IV. Provider business mailing address

4210 COMMERCIAL WAY # 1144
SPRING HILL FL
34606-2325
US

V. Phone/Fax

Practice location:
  • Phone: 352-320-2060
  • Fax: 352-204-1405
Mailing address:
  • Phone: 352-320-2060
  • Fax: 352-204-1405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CHINESA HUFF-THOMAS
Title or Position: MEMBER
Credential:
Phone: 513-295-4088