Provider Demographics
NPI:1184660185
Name:PINARD HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:PINARD HOME HEALTH SERVICES, LLC
Other - Org Name:HOME ADVANTAGE HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER MEMBER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIMI
Authorized Official - Suffix:JR
Authorized Official - Credentials:PA
Authorized Official - Phone:352-427-8680
Mailing Address - Street 1:5925 SE ABSHIER BLVD.
Mailing Address - Street 2:
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-4025
Mailing Address - Country:US
Mailing Address - Phone:352-347-9700
Mailing Address - Fax:352-347-9533
Practice Address - Street 1:5925 SE ABSHIER BLVD.
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-4025
Practice Address - Country:US
Practice Address - Phone:352-347-9700
Practice Address - Fax:352-347-9533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991526251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107675Medicare ID - Type Unspecified
FL107675Medicare UPIN