Provider Demographics
NPI:1386757961
Name:ALL SEASONS HOME CARE, LLC
Entity type:Organization
Organization Name:ALL SEASONS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEUBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-381-7844
Mailing Address - Street 1:5130 LINTON BLVD
Mailing Address - Street 2:B-7
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6596
Mailing Address - Country:US
Mailing Address - Phone:561-381-7844
Mailing Address - Fax:561-381-7856
Practice Address - Street 1:5130 LINTON BLVD
Practice Address - Street 2:B-7
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6596
Practice Address - Country:US
Practice Address - Phone:561-381-7844
Practice Address - Fax:561-381-7856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991655251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-7750Medicare ID - Type UnspecifiedHOME HEALTH