Provider Demographics
NPI:1366635419
Name:LEEDER HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:LEEDER HOME HEALTH CARE SERVICES LLC
Other - Org Name:ACCOMPLISHED HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:B
Authorized Official - Last Name:YURASKO
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:352-291-6611
Mailing Address - Street 1:1701 NE 42ND AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-8024
Mailing Address - Country:US
Mailing Address - Phone:407-704-8907
Mailing Address - Fax:407-772-8709
Practice Address - Street 1:922 LAKE BALDWIN LN STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-5900
Practice Address - Country:US
Practice Address - Phone:407-704-8907
Practice Address - Fax:407-772-8709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992942251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health