Provider Demographics
NPI:1558741470
Name:NEXT DOOR HOME HEALTH LLC
Entity Type:Organization
Organization Name:NEXT DOOR HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ANGELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:352-365-6344
Mailing Address - Street 1:2405 HWY 27/441
Mailing Address - Street 2:BLDG. 2
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731-2138
Mailing Address - Country:US
Mailing Address - Phone:352-365-6344
Mailing Address - Fax:352-365-6346
Practice Address - Street 1:2405 HWY 27/441
Practice Address - Street 2:BLDG. 2
Practice Address - City:FRUITLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:34731-2138
Practice Address - Country:US
Practice Address - Phone:352-365-6344
Practice Address - Fax:352-365-6346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health