Provider Demographics
NPI:1063021236
Name:NATURE COAST AT-HOME SERVICES, INC.
Entity Type:Organization
Organization Name:NATURE COAST AT-HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:352-694-1087
Mailing Address - Street 1:8293 NITTANY RD
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-5348
Mailing Address - Country:US
Mailing Address - Phone:949-584-7010
Mailing Address - Fax:
Practice Address - Street 1:5327 COMMERCIAL WAY UNIT B105
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34606-1499
Practice Address - Country:US
Practice Address - Phone:352-694-1087
Practice Address - Fax:352-648-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care