Provider Demographics
NPI:1376085456
Name:HOME CARE 24/7 SW FL LLC
Entity Type:Organization
Organization Name:HOME CARE 24/7 SW FL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:WM
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:VARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-543-1502
Mailing Address - Street 1:2155 WOOD ST APT A10
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-7917
Mailing Address - Country:US
Mailing Address - Phone:561-543-1502
Mailing Address - Fax:
Practice Address - Street 1:2155 WOOD ST APT A10
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-7917
Practice Address - Country:US
Practice Address - Phone:561-543-1502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health