Provider Demographics
NPI:1568555381
Name:ALOHA HOME CARE, LLC
Entity Type:Organization
Organization Name:ALOHA HOME CARE, LLC
Other - Org Name:ACCENTCARE HOME HEALTH OF PORT SAINT LUCIE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ-DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3819
Mailing Address - Street 1:2800 SHORELINE DR.
Mailing Address - Street 2:300
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:940-220-2074
Mailing Address - Fax:844-595-5182
Practice Address - Street 1:548 NW UNIVERSITY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2284
Practice Address - Country:US
Practice Address - Phone:772-283-2247
Practice Address - Fax:772-283-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL108134251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108134Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER