MEDICARE: CODE BLEW HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251G00000X	Community Based Hospice Care Agency
3	251J00000X	Nursing Care Agency
4	253Z00000X	In Home Supportive Care Agency
5	343900000X	Non-emergency Medical Transport (VAN)
6	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
7	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1831037191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CODE BLEW HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2888 DOE RUN TRL
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8341
Country	:	US
Telephone Number	:	772-940-7143
Fax Number	:

Provider Business Practice Location Address
First Line	:	2888 DOE RUN TRL
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8341
Country	:	US
Telephone Number	:	772-940-7143
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHONTAE L SMITH
Credential	:	LPN
Telephone Number	:	772-940-7143

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “CODE BLEW HEALTHCARE SERVICES LLC ” Practice Location

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