Healthcare Provider Details

I. General information

NPI: 1770488942
Provider Name (Legal Business Name): DUVENS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2446 BRACKNELL FOREST TRL
TAVARES FL
32778-4991
US

IV. Provider business mailing address

2446 BRACKNELL FOREST TRL
TAVARES FL
32778-4991
US

V. Phone/Fax

Practice location:
  • Phone: 689-250-6286
  • Fax:
Mailing address:
  • Phone: 689-250-6286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEANNE ISAAC DUBOIS
Title or Position: OWNER
Credential:
Phone: 689-250-6286