Provider Demographics
NPI:1194501916
Name:ORANGE COUNTY PERSONAL CARE SERVICES LLC
Entity type:Organization
Organization Name:ORANGE COUNTY PERSONAL CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-974-3424
Mailing Address - Street 1:255 S ORANGE AVE STE 104-1109
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3445
Mailing Address - Country:US
Mailing Address - Phone:407-974-3424
Mailing Address - Fax:
Practice Address - Street 1:255 S ORANGE AVE STE 104-1109
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-3445
Practice Address - Country:US
Practice Address - Phone:407-974-3424
Practice Address - Fax:833-517-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty