Provider Demographics
NPI:1326297474
Name:CENTRAL FLORIDA HOME HEALTH, LLC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-956-1910
Mailing Address - Street 1:1200 W SR 434
Mailing Address - Street 2:SUITE 112
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4986
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 W SR 434
Practice Address - Street 2:SUITE 112
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4986
Practice Address - Country:US
Practice Address - Phone:407-956-1910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-13
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health