=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932378460
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AARON HOME CARE AND STAFFING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2008
-----------------------------------------------------
Last Update Date | 09/24/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 503 8TH AVE W
-----------------------------------------------------
City | PALMETTO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34221-5121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-751-8055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1238
-----------------------------------------------------
City | PALMETTO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34220-1238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-751-8055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. RONALD STUART ROWE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 941-751-8055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | 30211292
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------