Provider Demographics
NPI:1104290477
Name:PATIENT CARE HOME HEALTH OF NORTH FLORIDA LLC
Entity type:Organization
Organization Name:PATIENT CARE HOME HEALTH OF NORTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANZONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-222-3771
Mailing Address - Street 1:74 SPRING VISTA DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-1815
Mailing Address - Country:US
Mailing Address - Phone:386-222-3771
Mailing Address - Fax:888-372-4060
Practice Address - Street 1:74 SPRING VISTA DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-1815
Practice Address - Country:US
Practice Address - Phone:386-222-3771
Practice Address - Fax:888-372-4060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health