=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902781164
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | D FLORENCE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2025
-----------------------------------------------------
Last Update Date | 08/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1401 BLOSSOM ST
-----------------------------------------------------
City | ELMONT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11003-2503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-957-7351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1401 BLOSSOM ST
-----------------------------------------------------
City | ELMONT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11003-2503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-957-7351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DENISE MCLEAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 561-957-7351
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------