Provider Demographics
NPI:1437707353
Name:DIMACARE HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:DIMACARE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVI
Authorized Official - Middle Name:
Authorized Official - Last Name:DI MATTEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-708-3400
Mailing Address - Street 1:1064 GLENRAVEN LN
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-9011
Mailing Address - Country:US
Mailing Address - Phone:407-259-1224
Mailing Address - Fax:407-598-6067
Practice Address - Street 1:751 W MINNEOLA AVE STE 1
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2115
Practice Address - Country:US
Practice Address - Phone:352-708-3400
Practice Address - Fax:352-708-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health