Provider Demographics
NPI:1588366397
Name:LARIMORE HOMECARE
Entity type:Organization
Organization Name:LARIMORE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:LARIMORE
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:813-380-4849
Mailing Address - Street 1:9811 BELMONT PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525
Mailing Address - Country:US
Mailing Address - Phone:813-380-4849
Mailing Address - Fax:
Practice Address - Street 1:2625 STONEWOOD PARK LOOP SUITE 108
Practice Address - Street 2:
Practice Address - City:LAND O'LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638
Practice Address - Country:US
Practice Address - Phone:13-380-4849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care