Provider Demographics
NPI:1427200096
Name:HCP SERVICES, LLC
Entity Type:Organization
Organization Name:HCP SERVICES, LLC
Other - Org Name:HCP HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:A
Authorized Official - Last Name:TUMA
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:352-284-2336
Mailing Address - Street 1:901 NW 8TH AVE
Mailing Address - Street 2:SUITE B-6
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-5011
Mailing Address - Country:US
Mailing Address - Phone:352-284-2336
Mailing Address - Fax:352-373-2254
Practice Address - Street 1:901 NW 8TH AVE
Practice Address - Street 2:B-6
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-5011
Practice Address - Country:US
Practice Address - Phone:352-284-2336
Practice Address - Fax:352-373-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993819251E00000X
FL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002132000Medicaid
FL003795600Medicaid
FL689845996Medicaid