Healthcare Provider Details
I. General information
NPI: 1043473218
Provider Name (Legal Business Name): HOME HEALTH SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2008
Last Update Date: 12/27/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2973 LANDOVER BLVD
SPRING HILL FL
34608-7258
US
IV. Provider business mailing address
4655 SALISBURY RD STE 110
JACKSONVILLE FL
32256-0957
US
V. Phone/Fax
- Phone: 352-684-1388
- Fax: 352-684-1389
- Phone: 904-733-1003
- Fax: 904-448-8855
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
GREGORY
YOUNG
Title or Position: SECRETARY & CAO
Credential:
Phone: 904-733-1003