Provider Demographics
NPI:1013599638
Name:REJOICE IN DIVERSITIES HOME HEALTH, LLC
Entity Type:Organization
Organization Name:REJOICE IN DIVERSITIES HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-805-0734
Mailing Address - Street 1:PO BOX 1668
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32756-1668
Mailing Address - Country:US
Mailing Address - Phone:352-805-0734
Mailing Address - Fax:352-268-0923
Practice Address - Street 1:13758 E HIGHWAY 25 UNIT 3
Practice Address - Street 2:
Practice Address - City:OCKLAWAHA
Practice Address - State:FL
Practice Address - Zip Code:32179-5306
Practice Address - Country:US
Practice Address - Phone:352-805-0734
Practice Address - Fax:352-268-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child