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General NPI Number Information
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NPI Number | 1770370041
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Entity Type | Organization
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Legal Business Name | VISANA HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 110 SPIRIT LAKE RD STE 4
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City | WINTER HAVEN
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State | FL
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Zip | 33880-1244
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Country | US
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Telephone | 407-968-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 4420 US HWY 27 SUITE 5
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 407-968-2808
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Fax |
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Authorized Official
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Title or Position | CEO/ MANAGER
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Name | AKISSI T. AKA
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Credential | REGISTERED NURSE
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Telephone | 407-968-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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