Provider Demographics
NPI:1427318542
Name:HOME CARE OF AMERICA
Entity type:Organization
Organization Name:HOME CARE OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-623-4469
Mailing Address - Street 1:3112 HIDDEN LAKE CV
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8256
Mailing Address - Country:US
Mailing Address - Phone:224-623-4469
Mailing Address - Fax:904-213-0798
Practice Address - Street 1:3112 HIDDEN LAKE CV
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8256
Practice Address - Country:US
Practice Address - Phone:224-623-4469
Practice Address - Fax:904-213-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232541251C00000X, 251E00000X, 251T00000X, 253Z00000X, 344600000X, 347C00000X, 385H00000X, 385HR2050X, 385HR2055X, 385HR2060X, 385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child