Provider Demographics
NPI:1811152150
Name:AAA MARINELLI HOME HEALTH AGENCY, INC D.B.A. HOME INSTEAD SENIOR CARE
Entity type:Organization
Organization Name:AAA MARINELLI HOME HEALTH AGENCY, INC D.B.A. HOME INSTEAD SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-318-5332
Mailing Address - Street 1:165 WELLS RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-3035
Mailing Address - Country:US
Mailing Address - Phone:904-215-8520
Mailing Address - Fax:904-215-8524
Practice Address - Street 1:165 WELLS RD
Practice Address - Street 2:SUITE 301
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-3035
Practice Address - Country:US
Practice Address - Phone:904-215-8520
Practice Address - Fax:904-215-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993189251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health