Provider Demographics
NPI:1033886767
Name:CSN&N HOMECARE LLC
Entity Type:Organization
Organization Name:CSN&N HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAGREGVONTAE
Authorized Official - Middle Name:Q
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:407-860-6178
Mailing Address - Street 1:477 CARDINAL CT
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4440
Mailing Address - Country:US
Mailing Address - Phone:407-860-6178
Mailing Address - Fax:407-603-9977
Practice Address - Street 1:2431 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2541
Practice Address - Country:US
Practice Address - Phone:407-603-9977
Practice Address - Fax:407-603-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health