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NPI Code Detail

MEDICARE: IDT HOME CARE LLC

MEDICARE: IDT HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide
2376J00000XHomemaker
33747P1801XPersonal Care Attendant
4253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1023838844
Entity Type Code : Organization
Provider Name (Legal Business Name) : IDT HOME CARE LLC
Provider Business Mailing Address
First Line : 850 CONCOURSE PKWY S STE 200
Second Line :
City : MAITLAND
State : FL
Zip : 32751-6145
Country : US
Telephone Number : 407-270-1636
Fax Number :
Provider Business Practice Location Address
First Line : 850 CONCOURSE PKWY S STE 200
Second Line :
City : MAITLAND
State : FL
Zip : 32751-6145
Country : US
Telephone Number : 407-270-1636
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : KAREN HAYES
Credential :
Telephone Number : 407-270-1636
Provider Enumeration Date : 10/15/2024
Last Update Date : 01/08/2026

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Directions to “IDT HOME CARE LLC ” Practice Location

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