MEDICARE: HOUSECALL SUPPORTIVE SERVICES, 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
1	251E00000X	Home Health Agency	204960961	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811945330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSECALL SUPPORTIVE SERVICES, LLC

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	12601 NEW BRITTANY BLVD
Second Line	:	BUILDING 19
City	:	FT MYERS
State	:	FL
Zip	:	33907-3631
Country	:	US
Telephone Number	:	239-275-8883
Fax Number	:	239-275-8859

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM BORNE
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/06/2012

Similar Medicare Providers

1699178830 — CAROLINE BEHYMER M.S, OT
Practice Location Address:

525 NORMANDY CT
FT WRIGHT, KY
41011-3631

Practice Phone: 859-801-5915
Practice Fax:

1952478174 — FREDERICK W KUNKEL M.D.
Practice Location Address:

12645 NEW BRITTANY BLVD , BLDG 15
FORT MYERS, FL
33907-3631

Practice Phone: 239-936-2220
Practice Fax: 239-936-2444

1083615108 — ANGEL PIETRI M.D.
Practice Location Address:

12645 NEW BRITTANY BLVD BLDG 15
FORT MYERS, FL
33907-3631

Practice Phone: 239-277-9377
Practice Fax: 239-277-3292

1285629006 — HOME HEALTH CORPORATION OF AMERICA, INC-FORT MYERS
Practice Location Address:

12655 NEW BRITTANY BLVD , BLDG 13W
FORT MYERS, FL
33907-3631

Practice Phone: 239-275-6712
Practice Fax: 239-275-4062

1174588594 — R PAUL LICCINI MD LLC
Practice Location Address:

12645 NEW BRITTANY BLVD , BLDG 15
FORT MYERS, FL
33907-3631

Practice Phone: 239-936-2220
Practice Fax: 239-936-2444

1043268246 — HOUSECALL SUPPORTIVE SERVICES, INC.
Practice Location Address:

12601 NEW BRITTANY BLVD , BUILDING 19
FORT MYERS, FL
33907-3631

Practice Phone: 239-274-0664
Practice Fax: 239-275-3208

Directions to “HOUSECALL SUPPORTIVE SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.