Healthcare Provider Details

I. General information

NPI: 1528606977
Provider Name (Legal Business Name): ON POINT HOME HEALTH,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 E WADE ST
TRENTON FL
32693-3316
US

IV. Provider business mailing address

1457 SE 101ST ST
TRENTON FL
32693-3343
US

V. Phone/Fax

Practice location:
  • Phone: 352-658-8036
  • Fax: 352-658-8041
Mailing address:
  • Phone: 386-438-8079
  • Fax: 386-438-5045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: TERRI MARGARET EZELL
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 352-210-9589