=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598648156
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NO PLACE LIKE HOME MAKER COMPANION SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2025
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1201 HEART PINE DR
-----------------------------------------------------
City | ORANGE CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32763-3400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-414-9787
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4156
-----------------------------------------------------
City | DELTONA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32725-0156
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-414-9787
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MGR
-----------------------------------------------------
Name | MRS. PRISCILLA KINCAID
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 386-848-2814
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376J00000X
-----------------------------------------------------
Taxonomy Name | Homemaker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------