Healthcare Provider Details

I. General information

NPI: 1982606240
Provider Name (Legal Business Name): A & A HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N HIGHWAY 71
WEWAHITCHKA FL
32465-4088
US

IV. Provider business mailing address

103 N HIGHWAY 71
WEWAHITCHKA FL
32465-9507
US

V. Phone/Fax

Practice location:
  • Phone: 850-639-3333
  • Fax: 850-639-3337
Mailing address:
  • Phone: 850-639-3333
  • Fax: 850-639-3337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA299991819
License Number StateFL

VIII. Authorized Official

Name: MR. JAMIE S HYNES
Title or Position: PRESIDENT
Credential:
Phone: 561-385-9409