Provider Demographics
NPI:1528606977
Name:ON POINT HOME HEALTH,
Entity Type:Organization
Organization Name:ON POINT HOME HEALTH,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:EZELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:352-210-9589
Mailing Address - Street 1:1457 SE 101ST ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:FL
Mailing Address - Zip Code:32693-3343
Mailing Address - Country:US
Mailing Address - Phone:386-438-8079
Mailing Address - Fax:386-438-5045
Practice Address - Street 1:723 E WADE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:FL
Practice Address - Zip Code:32693-3316
Practice Address - Country:US
Practice Address - Phone:352-658-8036
Practice Address - Fax:352-658-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion