Provider Demographics
NPI:1508214990
Name:FOUR MURPHYS PERSONAL CARE LLC
Entity Type:Organization
Organization Name:FOUR MURPHYS PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-845-5819
Mailing Address - Street 1:5425 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2504
Mailing Address - Country:US
Mailing Address - Phone:727-845-5819
Mailing Address - Fax:727-845-9008
Practice Address - Street 1:5425 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2504
Practice Address - Country:US
Practice Address - Phone:727-845-5819
Practice Address - Fax:727-845-9008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOUR MURPHYS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-26
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994523251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health