Provider Demographics
NPI:1336316926
Name:FLORIDA HOME CARE ENTERPRISES INC
Entity Type:Organization
Organization Name:FLORIDA HOME CARE ENTERPRISES INC
Other - Org Name:DBA COMMUNITY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-636-0042
Mailing Address - Street 1:3604 UNIVERSITY BLVD S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4241
Mailing Address - Country:US
Mailing Address - Phone:904-636-0042
Mailing Address - Fax:904-636-0095
Practice Address - Street 1:3604 UNIVERSITY BLVD S
Practice Address - Street 2:SUITE 1
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4241
Practice Address - Country:US
Practice Address - Phone:904-636-0042
Practice Address - Fax:904-636-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNR30211340251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health