Provider Demographics
NPI:1386043024
Name:SPECIALTY HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:SPECIALTY HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MISS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BELLI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:239-280-0953
Mailing Address - Street 1:PO BOX 7364
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101
Mailing Address - Country:US
Mailing Address - Phone:239-280-0953
Mailing Address - Fax:239-300-0153
Practice Address - Street 1:11983 US TAMIAMI TRAIL NORTH
Practice Address - Street 2:SUITE 132
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:239-280-0953
Practice Address - Fax:239-300-0153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health