Provider Demographics
NPI:1508801929
Name:WEST FLORIDA HEALTH HOME CARE INC
Entity Type:Organization
Organization Name:WEST FLORIDA HEALTH HOME CARE INC
Other - Org Name:ADVENTHEALTH HOME CARE HEARTLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRESSWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-615-4237
Mailing Address - Street 1:4005 SUN N LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2130
Mailing Address - Country:US
Mailing Address - Phone:863-385-1400
Mailing Address - Fax:863-471-3754
Practice Address - Street 1:4005 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2130
Practice Address - Country:US
Practice Address - Phone:863-385-1400
Practice Address - Fax:863-471-3754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA20459096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL030862100OtherFEDERAL BLACK LUNG
FL107345OtherUNITED HEALTH CARE
FLH-70OtherBLUE CROSS BLUE SHIELD
FL000316760OtherKEYSTONE HP WEST MCR
FL168086OtherWELLCARE MCR
FL107345OtherHUMANA GOLD CHOICE MCR
FL168086OtherWELLCARE MCR