Provider Demographics
NPI:1346091170
Name:1 HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:1 HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALISTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-522-9341
Mailing Address - Street 1:1200 N FEDERAL HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-2813
Mailing Address - Country:US
Mailing Address - Phone:914-522-9341
Mailing Address - Fax:
Practice Address - Street 1:15310 AMBERLY DR STE 250
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-1642
Practice Address - Country:US
Practice Address - Phone:877-227-3561
Practice Address - Fax:650-439-3076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1 HOME CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health