Provider Demographics
NPI:1568929909
Name:RESIDENT HOME CARE LLC
Entity Type:Organization
Organization Name:RESIDENT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:727-247-7637
Mailing Address - Street 1:5901 US HIGHWAY 19 STE 7
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2940
Mailing Address - Country:US
Mailing Address - Phone:727-869-9700
Mailing Address - Fax:
Practice Address - Street 1:5901 US HIGHWAY 19 STE 5
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2940
Practice Address - Country:US
Practice Address - Phone:727-869-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health