Provider Demographics
NPI:1053676924
Name:ICARE@HOME LLC
Entity Type:Organization
Organization Name:ICARE@HOME LLC
Other - Org Name:FIRSTLIGHT HOMECARE CENTRAL ORLANDO/WINTER PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-221-8571
Mailing Address - Street 1:15 WINDSORMERE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6507
Mailing Address - Country:US
Mailing Address - Phone:407-434-0675
Mailing Address - Fax:407-977-4156
Practice Address - Street 1:15 WINDSORMERE WAY STE 200
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6507
Practice Address - Country:US
Practice Address - Phone:407-434-0675
Practice Address - Fax:407-977-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232767251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health