Provider Demographics
NPI:1578646121
Name:H.C. HEALTHCARE, INC.
Entity Type:Organization
Organization Name:H.C. HEALTHCARE, INC.
Other - Org Name:TRINITY AT RIVER OAKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KRASNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-792-7200
Mailing Address - Street 1:201 PARSHLEY ST SW
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-2310
Mailing Address - Country:US
Mailing Address - Phone:386-362-3778
Mailing Address - Fax:386-362-5376
Practice Address - Street 1:201 PARSHLEY ST SW
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064-2310
Practice Address - Country:US
Practice Address - Phone:386-362-3778
Practice Address - Fax:386-362-5376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103438Medicare Oscar/Certification
FL103438Medicare PIN