Provider Demographics
NPI:1326812561
Name:JOYFUL FLORIDA CORP
Entity Type:Organization
Organization Name:JOYFUL FLORIDA CORP
Other - Org Name:JOYFUL HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEKKATTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-210-4922
Mailing Address - Street 1:106 S SAINT CLOUD AVE
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-3990
Mailing Address - Country:US
Mailing Address - Phone:646-210-4922
Mailing Address - Fax:
Practice Address - Street 1:402 APACHE LN
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-4746
Practice Address - Country:US
Practice Address - Phone:646-210-4922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health