Provider Demographics
NPI:1598561706
Name:PCAH HERNANDO CARES LLC
Entity type:Organization
Organization Name:PCAH HERNANDO CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEROUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-271-1328
Mailing Address - Street 1:511 PAINTED LEAF DR
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34604-1463
Mailing Address - Country:US
Mailing Address - Phone:727-271-1328
Mailing Address - Fax:
Practice Address - Street 1:5172 MARINER BLVD # 100
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-1802
Practice Address - Country:US
Practice Address - Phone:727-271-1328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health