Provider Demographics
NPI:1528206331
Name:TREASURE COAST HOMECARE, LLC
Entity Type:Organization
Organization Name:TREASURE COAST HOMECARE, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:KRASNANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-564-8821
Mailing Address - Street 1:1847 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3505
Mailing Address - Country:US
Mailing Address - Phone:772-564-8821
Mailing Address - Fax:772-564-8824
Practice Address - Street 1:1847 14TH AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3505
Practice Address - Country:US
Practice Address - Phone:772-564-8821
Practice Address - Fax:772-564-8824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230915253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care