Provider Demographics
NPI:1265487938
Name:LIVE LONGER AT HOME HEALTH CARE SVCS. INC.
Entity Type:Organization
Organization Name:LIVE LONGER AT HOME HEALTH CARE SVCS. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURTSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:863-491-0002
Mailing Address - Street 1:313 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-3917
Mailing Address - Country:US
Mailing Address - Phone:863-491-0002
Mailing Address - Fax:863-491-0005
Practice Address - Street 1:313 W OAK ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-3917
Practice Address - Country:US
Practice Address - Phone:863-491-0002
Practice Address - Fax:863-491-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108390Medicare ID - Type Unspecified