Healthcare Provider Details

I. General information

NPI: 1598561706
Provider Name (Legal Business Name): PCAH HERNANDO CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5172 MARINER BLVD # 100
SPRING HILL FL
34609-1802
US

IV. Provider business mailing address

511 PAINTED LEAF DR
BROOKSVILLE FL
34604-1463
US

V. Phone/Fax

Practice location:
  • Phone: 727-271-1328
  • Fax:
Mailing address:
  • Phone: 727-271-1328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADAM LEROUX
Title or Position: CEO
Credential:
Phone: 727-271-1328